Individual
TONYA DIANE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-5003
Mailing address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TS0200X
School Psychologist
Primary
140206821
CA
Other
Enumeration date
04/01/2008
Last updated
08/21/2024
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