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General NPI Number Information
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NPI Number | 1619599974
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Entity Type | Organization
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Legal Business Name | SAVERA PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 05/09/2020
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Last Update Date | 05/09/2020
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Provider Practice Location Address
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Address Line | 401 GRAND AVE STE 380
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City | OAKLAND
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State | CA
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Zip | 94610-5054
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Country | US
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Telephone | 510-394-2240
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Fax | 510-380-2558
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Provider Business Mailing Address
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Address Line | 3 COMMODORE DR # B261
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City | EMERYVILLE
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State | CA
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Zip | 94608-1646
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Country | US
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Telephone | 510-394-2240
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Fax | 510-380-2558
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Authorized Official
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Title or Position | CEO/LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. AMRITA MEHTA
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Credential | PH.D.
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Telephone | 510-394-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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