Organization
HOME BASE: PARENTING FUNDAMENTALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MILNES PSY.D. (EXECUTIVE DIRECTOR)
(510) 823-2035
Entity
Organization
Contact information
Practice address
411 30TH ST STE 514, OAKLAND, CA 94609-3303
(510) 823-2035
Mailing address
411 30TH ST STE 514, OAKLAND, CA 94609-3303
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
PSY 12525
CA
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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