| Walnut Creek Cbt Clinic | |
|
1670 S Amphlett Blvd Suite 225 San Mateo CA 94402-2510 | |
| (650) 532-3666 | |
| Not Available |
| Full Name | Walnut Creek Cbt Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1670 S Amphlett Blvd, San Mateo, California |
| Authorized Official Name and Position | Jonah Lakin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6505323666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Creek Cbt Clinic 1670 S Amphlett Blvd Suite 225 San Mateo CA 94402-2510 Ph: (650) 532-3666 | Walnut Creek Cbt Clinic 1670 S Amphlett Blvd Suite 225 San Mateo CA 94402-2510 Ph: (650) 532-3666 |
| NPI Number | 1881069086 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881069086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26269 (California) | Primary |
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