Organization
DR. NICOLE MAYEDA, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MAYEDA PSY.D. (OWNER)
(415) 735-0029
Entity
Organization
Contact information
Practice address
22 BATTERY ST., SUITE 426, SAN FRANCISCO, CA 94111-5542
(415) 735-0029
Mailing address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(415) 735-0029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
05/24/2022
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