RYAN FREDRICK SHALLAT

OAKLAND, CA
NPI1528117082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  RPS 2006052)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
Dr. RYAN FREDRICK SHALLAT Psy.D.
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-482-6632
Mailing Address
Dr. RYAN FREDRICK SHALLAT Psy.D.
846 ALMA PL
OAKLAND, CA 94610-2502
Phone number: 510-508-3707