Organization
DR. CLARKE PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERDINE CLARKE PSYD (CEO)
(510) 214-2014
Entity
Organization
Contact information
Practice address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(510) 214-2014
Mailing address
909 MARINA VILLAGE PKWY # 225, ALAMEDA, CA 94501-1048
(510) 214-2014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982002846
—
CA
Enumeration date
01/04/2024
Last updated
01/04/2024
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