Organization
DR. SPEED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIANE D SPEED PSY.D. (CLINICAL PSYCHOLOGIST/PRESIDENT)
(209) 834-4302
Entity
Organization
Contact information
Practice address
672 W 11TH ST STE 100, TRACY, CA 95376-3821
(209) 834-4302
Mailing address
672 W 11TH ST STE 100, TRACY, CA 95376-3821
(209) 834-4302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24865
CA
Other
Enumeration date
06/23/2016
Last updated
01/09/2017
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