Individual
BARBARA IVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
312 CLAY ST STE 150, OAKLAND, CA 94607-3510
(510) 428-8402
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-8402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10343
CA
Other
Enumeration date
06/29/2007
Last updated
11/21/2019
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