Individual
DR. DARA GOOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3340 WALNUT AVE STE 140, FREMONT, CA 94538-2215
(510) 745-9151
Mailing address
3340 WALNUT AVE STE 140, FREMONT, CA 94538-2215
(510) 745-9151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21615
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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