NPI 1558069211 · live from the CMS NPI Registry
Jessica Abdalla, PhD
Psychologist, Clinical in Walnut Creek, CA. National Provider Identifier 1558069211, active.
NPI record
| NPI | 1558069211 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1460 Maria Ln, Walnut Creek, CA 94596 |
| Practice phone | 650-275-3939 |
| Enumerated | February 21, 2023 |
| Last updated | February 21, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 33933 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.