| Gregory Alter Group, Inc. | |
|
31 Carroll Ct San Rafael CA 94903-3719 | |
| (510) 734-0885 | |
| Not Available |
| Full Name | Gregory Alter Group, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 31 Carroll Ct, San Rafael, California |
| Authorized Official Name and Position | Gregory Seth Alter (PROVIDER/OWNER) |
| Authorized Official Contact | 5107340885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Alter Group, Inc. 3812 Laurel Ave Oakland CA 94602-3925 Ph: () - | Gregory Alter Group, Inc. 31 Carroll Ct San Rafael CA 94903-3719 Ph: (510) 734-0885 |
| NPI Number | 1154083558 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154083558 | NPI | - | NPPES |
| PSY7422 | Other | CA | PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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