Organization
SCHOOL PSYCHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOELLE RUTH RUBALCAVA LEP (PRESIDENT)
(510) 910-3222
Entity
Organization
Contact information
Practice address
765 SAN DIEGO RD, BERKELEY, CA 94707-2025
(510) 910-3222
(510) 680-1189
Mailing address
765 SAN DIEGO RD, BERKELEY, CA 94707-2025
(510) 910-3222
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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