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Individual

DEEPA ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
7080 DONLON WAY, SUITE 104, DUBLIN, CA 94568
(925) 803-1133
Mailing address
7080 DONLON WAY, SUITE 104, DUBLIN, CA 94568
(925) 803-1133

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18092
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY18092
BOARD OF PSYCHOLOGY
CA
Enumeration date
03/26/2007
Last updated
07/08/2007
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