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Nathaniel Van Goodlow, PHD
Prescribing (Medical) Psychologist in San Leandro, California
NPI 1528278561

Nathaniel Van Goodlow is a Prescribing (Medical) Psychologist based in San Leandro, CA and is specialized in Prescribing (Medical). Nathaniel Van Goodlow practices in San Leandro, CA and has the professional credentials of PHD. The NPI Number for Nathaniel Van Goodlow is 1528278561 and holds a License No. PSY14990 (California).

The current practice location address for Nathaniel Van Goodlow is 433 Callan Ave, San Leandro, CA and can be reached out via phone at 510-310-6994.

Location: 433 Callan Ave, San Leandro, CA, 94577-4643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528278561
Provider Name
Nathaniel Van Goodlow
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
433 Callan Ave, San Leandro, CA, 94577-4643
Phone Number
510-310-6994
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
433 Callan Ave
City
San Leandro
State
California
Zip
94577-4643
Phone Number
510-310-6994
Fax Number
person
Provider Business Mailing Address Details
Address
433 Callan Ave
City
San Leandro
State
California
Zip
94577-4643
Phone Number
510-310-6994
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
PSY14990 (California)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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