Lara Adeline Weyland in Oakland - Psychologist
Lara Adeline Weyland - NPI 1720187578
Lara Adeline Weyland is a Psychologist in Oakland, California. Lara Adeline Weyland practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lara Adeline Weyland is 1720187578. The last update date is 2007-07-08.
Lara Adeline Weyland's current location address is 2220 Mountain Blvd, Oakland, California. You can contact this provider via phone number 5105315354 and fax number 5102223508. The mailing address for Lara Adeline Weyland is 2220 Mountain Blvd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Adeline Weyland |
|---|---|
| Address | 2220 Mountain Blvd, Oakland, California |
| Phone Number | 5105315354 |
| Fax Number | 5102223508 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720187578 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2220 Mountain Blvd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946112905 |
| Phone Number | 5105315354 |
| Fax Number | 5102223508 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY14852 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY148520 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lara Adeline Weyland by the Centers for Medicare & Medicaid Services?
The Lara Adeline Weyland has been issued the NPI (National Provider Identifier) 1720187578, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lara Adeline Weyland is physically located?
The Lara Adeline Weyland is situated at the following address: 2220 Mountain Blvd, Oakland, CA 946112905.
What is Lara Adeline Weyland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lara Adeline Weyland is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720187578 to Lara Adeline Weyland?
The Centers for Medicare & Medicaid Services assigned the 1720187578 to Lara Adeline Weyland on 2006-09-21.
As of what date were the details pertaining to Lara Adeline Weyland last refreshed?
The information related to the Lara Adeline Weyland, including its address, specialty, and other relevant details, was last updated on 2007-07-08.