Healthcare Provider Details

I. General information

NPI: 1740465905
Provider Name (Legal Business Name): CRISTIANA ARAGAO BAPTISTA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 DURANT AVE C/O THE WRIGHT INSTITUTE
BERKELEY CA
94704-1725
US

IV. Provider business mailing address

1528 OXFORD ST APT 1
BERKELEY CA
94709-1543
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-9230
  • Fax:
Mailing address:
  • Phone: 510-207-4069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY27833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: