Individual
DR. AMY ELIZABETH COO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5665 COLLEGE AVE, OAKLAND, CA 94618-1625
(510) 595-4195
Mailing address
5665 COLLEGE AVE, OAKLAND, CA 94618-1625
(510) 595-4195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18975
CA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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