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1366777906
ASHLEY MELISSA TATE DE LARA
SAN JOSE, CA
NPI
1366777906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY23064)
Enumeration Date
2009-10-15
Last Update Date
2022-01-20
Business Address
ASHLEY MELISSA TATE DE LARA Psy.D.
650 N WINCHESTER BLVD SUITE 4
SAN JOSE, CA 95128-1511
Phone number: 650-271-4621
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Mailing Address
ASHLEY MELISSA TATE DE LARA Psy.D.
1800 HARRISON ST, 7TH FL
OAKLAND, CA 94612-3429
Phone number: 510-625-4101
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