| Dr. Speed, Inc. | |
|
672 W 11th St Ste 100 Tracy CA 95376-3821 | |
| (209) 834-4302 | |
| Not Available |
| Full Name | Dr. Speed, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 672 W 11th St Ste 100, Tracy, California |
| Authorized Official Name and Position | Christiane D Speed (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 2098344302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Speed, Inc. 672 W 11th St Ste 100 Tracy CA 95376-3821 Ph: (209) 834-4302 | Dr. Speed, Inc. 672 W 11th St Ste 100 Tracy CA 95376-3821 Ph: (209) 834-4302 |
| NPI Number | 1730530460 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730530460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY24865 (California) | Primary |
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