Individual
DR. ANDREA WALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3873 HOWE ST, OAKLAND, CA 94611-5343
(510) 653-3096
Mailing address
3873 HOWE ST, OAKLAND, CA 94611-5343
(510) 653-3096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10415
CA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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