Live Oak Psychological Services, Pc

LBN: Live Oak Psychological Services, Pc
Live Oak Psychological Services, Pc is an health care organization with primary practice located at 2020 Milvia St Ste 450 , Berkeley CA 94704-1297. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Live Oak Psychological Services, Pc can be contacted via phone (510) 214-2110, or through Ryan, Susan via phone (510) 214-2110.

Contact Information

Primary practice address
2020 Milvia St Ste 450 Berkeley CA 94704-1297
Phone: (510) 214-2110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Susan PSYD
Phone: (510) 214-2110

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1891558433
LBN Legal business name Live Oak Psychological Services, Pc
DBA Doing business as
Authorized official Ryan, Susan PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2024
Last updated Feb 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891558433 NPPES
California Other 1326523044 NPPES

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