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Individual

DR. DOUGLAS VAKOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2041 BANCROFT WAY STE 202, BERKELEY, CA 94704-1443
(510) 612-0097
(510) 768-8111
Mailing address
943 CHERRY WAY, HAYWARD, CA 94541-1836

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20394
CA
103TB0200X
Cognitive & Behavioral Psychologist
20394
CA
103TC0700X
Clinical Psychologist
Primary
20394
CA

Other

Enumeration date
06/06/2019
Last updated
11/27/2023
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