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1528117082
RYAN FREDRICK SHALLAT
OAKLAND, CA
NPI
1528117082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA RPS 2006052)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. RYAN FREDRICK SHALLAT Psy.D.
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-482-6632
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Mailing Address
Dr. RYAN FREDRICK SHALLAT Psy.D.
846 ALMA PL
OAKLAND, CA 94610-2502
Phone number: 510-508-3707
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