Brave Space Therapy INC
NPI #1346940491 in Oakland, California
Provider Information
- NPI Number
- 1346940491
- Entity Type
- Organization
- Organization Name
- Brave Space Therapy INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 7, 2023
- Last Updated
- Sep 7, 2025
Practice Location
- Address
- 2220 MOUNTAIN BLVD STE 240
- City
- Oakland
- State
- California
- ZIP Code
- 94611-2905
- Phone
- (510) 500-5470
Authorized Official
- Name
- RONI KHOL, PSY.D
- Title
- OWNER
- Phone
- (510) 500-5470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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