Most Relevant Information
Provider Data
| NPI Number: | 1003661620 |
| Provider Name: | DINA DIVSALAR PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY21955 |
Most Important Dates
| Enumeration Date: | 04/18/2024 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
711 CALMAR AVE
OAKLAND
CA
946101712
Practice Location Phone/Fax
| Phone: | 5102063973 |
| Fax: |
Provider Mailing Location
711 CALMAR AVE
OAKLAND
CA
946101712
Provider Mailing Phone/Fax
| Phone: | 5102063973 |
| Fax: |