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Individual

ALEXANDRA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3124 INTERNATIONAL BLVD, OAKLAND, CA 94601-2902
(510) 434-5421
Mailing address
2920 INTERNATIONAL BLVD., OAKLAND, CA 94601
(510) 485-5925

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
REGTBD
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689863516
CA
Enumeration date
07/08/2013
Last updated
08/02/2017
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