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4637 Chabot Dr Ste 102 Pleasanton CA 94588-2805 | |
| (925) 416-1400 | |
| (925) 416-1410 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4637 Chabot Dr, Pleasanton, California |
| Authorized Official Name and Position | Ali Hashemian (PRESIDENT) |
| Authorized Official Contact | 9254161400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4637 Chabot Dr Ste 102 Pleasanton CA 94588-2805 Ph: (925) 416-1400 | 4637 Chabot Dr Ste 102 Pleasanton CA 94588-2805 Ph: (925) 416-1400 |
| NPI Number | 1073804308 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073804308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 17785 (California) | Primary |
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