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NPI Code Detail

MEDICARE: DEMI RHINE PSY. D.

MEDICARE: DEMI RHINE PSY. 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 PsychologistPSY 22118CO

General Provider Information

NPI Number : 1609283308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMI RHINE PSY. D.
Provider Business Mailing Address
First Line : 345 38TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2703
Country : US
Telephone Number : 510-596-8137
Fax Number : 510-596-8955
Provider Business Practice Location Address
First Line : 345 38TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2703
Country : US
Telephone Number : 510-596-8137
Fax Number : 510-596-8955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2014
Last Update Date : 07/15/2014

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Directions to “ DEMI RHINE PSY. D.” Practice Location

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