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Contact Information

LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.
2220 MOUNTAIN BLVD
SUITE 240
OAKLAND, CA94611-2958
 Phone: 510-531-5354
 Fax: 510-222-3508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.

NPI # 1013262906
LBN Legal business name LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.
Authorized official LARA WEYLAND - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2012
Last updated 07/31/2012 - About 14 years ago
Identifiers
CA License # PSY14852
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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