Clearwater Psychological Services in Oakland - Clinical
Clearwater Psychological Services - NPI 1912115098
Clearwater Psychological Services is a Clinical in Oakland, California. Clearwater Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clearwater Psychological Services is 1912115098. The last update date is 2020-08-22.
Clearwater Psychological Services's current location address is 345 38th St, Oakland, California. You can contact this provider via phone number 5105968137 and fax number 5105968955. The mailing address for Clearwater Psychological Services is 345 38th St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clearwater Psychological Services |
|---|---|
| Address | 345 38th St, Oakland, California |
| Phone Number | 5105968137 |
| Fax Number | 5105968955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Witkin Sharon |
| Credentials | PH.D. |
| Telephone Number | 5105968137 |
NPI Number Detail
| NPI Number | 1912115098 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 345 38th St |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946092703 |
| Phone Number | 5105968137 |
| Fax Number | 5105968955 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 16276 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Clearwater Psychological Services by the Centers for Medicare & Medicaid Services?
The Clearwater Psychological Services has been issued the NPI (National Provider Identifier) 1912115098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Clearwater Psychological Services is physically located?
The Clearwater Psychological Services is physically situated at the following address: 345 38Th St, Oakland, CA, 946092703.
What is the Clearwater Psychological Services's specialty and taxonomy code?
The Clearwater Psychological Services's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912115098 to Clearwater Psychological Services?
The Centers for Medicare & Medicaid Services assigned the 1912115098 to Clearwater Psychological Services on 2007-05-20.
When was the Clearwater Psychological Services's information last updated?
The Clearwater Psychological Services's information was last updated on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC