| Lara T. San Pedro, Psy.d., A Psychological Corporation | |
|
39210 State St Suite 200 Fremont CA 94538-1456 | |
| (209) 373-0884 | |
| Not Available |
| Full Name | Lara T. San Pedro, Psy.d., A Psychological Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 39210 State St, Fremont, California |
| Authorized Official Name and Position | Lara San Pedro (PSYCHOLOGIST) |
| Authorized Official Contact | 2093730884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara T. San Pedro, Psy.d., A Psychological Corporation 39210 State St Suite 200 Fremont CA 94538-1456 Ph: (209) 373-0884 | Lara T. San Pedro, Psy.d., A Psychological Corporation 39210 State St Suite 200 Fremont CA 94538-1456 Ph: (209) 373-0884 |
| NPI Number | 1225561103 |
|---|---|
| Provider Enumeration Date | 04/06/2017 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225561103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 28229 (California) | Primary |
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