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NPI Code Detail

MEDICARE: DR. VALERIE M BELLAS PH.D.

MEDICARE: DR. VALERIE M BELLAS PH.D.
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
1103TC0700XClinical PsychologistPSY25034CA

General Provider Information

NPI Number : 1578617692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE M BELLAS PH.D.
Provider Business Mailing Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-701-8786
Fax Number :
Provider Business Practice Location Address
First Line : 770 53RD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1814
Country : US
Telephone Number : 510-701-8786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 06/20/2023

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