| School Psychology Group, Inc. | |
|
765 San Diego Rd Berkeley CA 94707-2025 | |
| (510) 910-3222 | |
| (510) 680-1189 |
| Full Name | School Psychology Group, Inc. |
|---|---|
| Speciality | Psychologist - School |
| Location | 765 San Diego Rd, Berkeley, California |
| Authorized Official Name and Position | Noelle Ruth Rubalcava (PRESIDENT) |
| Authorized Official Contact | 5109103222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Psychology Group, Inc. 765 San Diego Rd Berkeley CA 94707-2025 Ph: (510) 910-3222 | School Psychology Group, Inc. 765 San Diego Rd Berkeley CA 94707-2025 Ph: (510) 910-3222 |
| NPI Number | 1710647680 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710647680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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