| Gregory Alter Group | |
|
3093 Broadway Unit Ph76 Oakland CA 94611-5779 | |
| (510) 734-0885 | |
| Not Available |
| Full Name | Gregory Alter Group |
|---|---|
| Speciality | Psychologist |
| Location | 3093 Broadway, Oakland, California |
| Authorized Official Name and Position | Gregory S Alter (CEO) |
| Authorized Official Contact | 5107340885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Alter Group 3093 Broadway Unit Ph-76 Oakland CA 94611-5779 Ph: (510) 734-0885 | Gregory Alter Group 3093 Broadway Unit Ph76 Oakland CA 94611-5779 Ph: (510) 734-0885 |
| NPI Number | 1578292082 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 10/05/2023 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 5193106870 |
|---|---|
| Medicare Enrollment ID | O20220713002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578292082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gregory Seth Alter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528168366 PECOS PAC ID: 7719977396 Enrollment ID: I20040514001270 |
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