Individual
DR. ANGIE BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 365-4215
Mailing address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 365-4215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
PSB94020568
CA
103T00000X
Psychologist
Primary
PSY28850
CA
Other
Enumeration date
03/24/2010
Last updated
06/28/2023
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