Individual
DINA M LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
HARVEY GREEN ELEMENTARY, 42875 GATEWOOD STREET, FREMONT, CA 94538
(510) 656-6438
Mailing address
4210 TECHNOLOGY DR, FREMONT, CA 94538-6337
(510) 657-2350
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240027151
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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