| Diablo Valley Psychotherapy Associates | |
|
936 Dewing Ave Ste E Lafayette CA 94549-4246 | |
| (925) 283-9377 | |
| Not Available |
| Full Name | Diablo Valley Psychotherapy Associates |
|---|---|
| Speciality | Psychologist |
| Location | 936 Dewing Ave Ste E, Lafayette, California |
| Authorized Official Name and Position | George Kenneth Bradford (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9252839377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diablo Valley Psychotherapy Associates 936 Dewing Ave Ste E Lafayette CA 94549-4246 Ph: (925) 283-9377 | Diablo Valley Psychotherapy Associates 936 Dewing Ave Ste E Lafayette CA 94549-4246 Ph: (925) 283-9377 |
| NPI Number | 1508896416 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508896416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY12277 (California) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | PSY12277 (California) | Secondary |
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