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Lara T. San Pedro, Psy.d., A Psychological Corporation
Clinic/Center in Fremont, California
NPI 1225561103

Lara T. San Pedro, Psy.d., A Psychological Corporation is a Clinic/Center based in Fremont, CA. Lara T. San Pedro, Psy.d., A Psychological Corporation practices in Fremont, CA. The NPI Number for Lara T. San Pedro, Psy.d., A Psychological Corporation is 1225561103 and holds a License No. 28229 (California).

The current practice location address for Lara T. San Pedro, Psy.d., A Psychological Corporation is 39210 State St, Fremont, CA and can be reached out via phone at 209-373-0884.

Location: 39210 State St, Fremont, CA, 94538-1456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225561103
Provider Name
Lara T. San Pedro, Psy.d., A Psychological Corporation
Credential
Provider Entity Type
Organization
Address
39210 State St, Fremont, CA, 94538-1456
Phone Number
209-373-0884
Fax Number
Provider Enumeration Date
04/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39210 State St
City
Fremont
State
California
Zip
94538-1456
Phone Number
209-373-0884
Fax Number
person
Provider Business Mailing Address Details
Address
39210 State St
City
Fremont
State
California
Zip
94538-1456
Phone Number
209-373-0884
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
28229 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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