Dr. Speed, Inc. | |
672 W 11th St Ste 100 Tracy CA 95376-3821 | |
(209) 834-4302 | |
Not Available |
Full Name | Dr. Speed, Inc. |
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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 |
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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 |
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Provider Enumeration Date | 06/23/2016 |
Last Update Date | 01/09/2017 |
Identifier | Type | State | Issuer |
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1730530460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY24865 (California) | Primary |
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