Individual
DR. DUDLEASA STACIE HARRIS-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
969 BROADWAY, OAKLAND, CA 94607-4017
(510) 251-3905
Mailing address
PO BOX 20422, OAKLAND, CA 94620-0422
(510) 251-3905
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY17974
CA
103TC0700X
Clinical Psychologist
Primary
PSY17974
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY17974
CA
Other
Enumeration date
12/30/2006
Last updated
09/11/2025
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