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5674 Stoneridge Dr Suite 205 Pleasanton CA 94588-8500 | |
| (925) 520-0005 | |
| (925) 520-0010 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 5674 Stoneridge Dr, Pleasanton, California |
| Authorized Official Name and Position | Neisha Becton (CEO) |
| Authorized Official Contact | 9255200005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5674 Stoneridge Dr Suite 207 Pleasanton CA 94588-8500 Ph: (925) 520-0005 | 5674 Stoneridge Dr Suite 205 Pleasanton CA 94588-8500 Ph: (925) 520-0005 |
| NPI Number | 1023151693 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023151693 | NPI | - | NPPES |
| 01ED | Medicaid | CA |
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