Individual
DR. NAINA DEEPAK MAHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3000
Mailing address
37967 HARBOR LIGHT RD, NEWARK, CA 94560-3492
(818) 614-4716
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
33259
CA
103TC0700X
Clinical Psychologist
33259
CA
103TH0004X
Health Psychologist
Primary
33259
CA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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