Individual
DR. JERRY R EGUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10114 B STREET, HAYWARD, CA 94540
(510) 733-6895
(510) 733-6895
Mailing address
P.O. BOX 6273, HAYWARD, CA 94540
(510) 733-6895
(510) 733-6895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18324
CA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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