JASEON S. OUTLAW

SAN LEANDRO, CA
NPI1861747552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY23676)
Enumeration Date2012-07-18
Last Update Date2016-03-29
Business Address
Dr. JASEON S. OUTLAW PhD
13847 E 14TH ST STE 202
SAN LEANDRO, CA 94578-2626
Phone number: 510-463-1302
Mailing Address
Dr. JASEON S. OUTLAW PhD
13847 E 14TH ST STE 202
SAN LEANDRO, CA 94578-2626
Phone number: 510-463-1302
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