NPI 1417528480 · live from the CMS NPI Registry
7 Cycles Of Life
Psychologist, Clinical in San Ramon, CA. National Provider Identifier 1417528480, active.
NPI record
| NPI | 1417528480 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2821 Crow Canyon Rd Ste 202, San Ramon, CA 94583 |
| Practice phone | 925-895-2296 |
| Mailing address | 191 Cameo Dr, Danville, CA 94526 |
| Enumerated | July 9, 2021 |
| Last updated | July 9, 2021 |
| Authorized official | Marjan Moinzadeh, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.