Individual
DR. C GIRVANI LEERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3637 GRAND AVE, SUITE G, OAKLAND, CA 94610-2029
(510) 649-9624
Mailing address
PO BOX 2956, BERKELEY, CA 94702-0956
(510) 649-9624
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24631
CA
103TC1900X
Counseling Psychologist
7289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596175
—
MA
Enumeration date
01/17/2007
Last updated
03/14/2015
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