Individual
LAURA RAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
1375 55TH ST, EMERYVILLE, CA 94608-2609
(510) 655-7880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26540
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
06/24/2008
Last updated
03/17/2018
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