Walnut Creek Cbt Clinic
NPI #1881069086 in San Mateo, California
Provider Information
- NPI Number
- 1881069086
- Entity Type
- Organization
- Organization Name
- Walnut Creek Cbt Clinic
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 14, 2015
- Last Updated
- Nov 4, 2016
Practice Location
- Address
- 1670 S AMPHLETT BLVD
- Address 2
- SUITE 225
- City
- San Mateo
- State
- California
- ZIP Code
- 94402-2510
- Phone
- (650) 532-3666
Authorized Official
- Name
- DR. JONAH LAKIN, PSYD
- Title
- CLINICAL DIRECTOR
- Phone
- (650) 532-3666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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