Trauma & Stress Recovery, a Medical Group Inc.

NPI #1528676269 in Oakland, California

Provider Information

NPI Number: 1528676269
Entity Type: Organization
Organization Name: Trauma & Stress Recovery, a Medical Group Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 20, 2020
Last Updated: Jul 28, 2020

Practice Location

Address: 500 12TH ST STE 110
City: Oakland
State: California
ZIP Code: 94607-4005
Phone: (415) 346-8640

Authorized Official

Name: CHRISTIAN ASUELO
Title: PRACTICE ADMINISTRATOR
Phone: (415) 346-8640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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