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NPI Code Detail

MEDICARE: TERESA MERCEDES MEDINA

MEDICARE: TERESA MERCEDES MEDINA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist230167219CA

General Provider Information

NPI Number : 1023941325
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MERCEDES MEDINA
Provider Business Mailing Address
First Line : 1108 BISSELL AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1108 BISSELL AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3135
Country : US
Telephone Number : 510-231-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ TERESA MERCEDES MEDINA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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