Search › California › 103TC0700X
Ryan Shallat, PSY.D
NPI 1528117082 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4368 Lincoln Ave
Oakland, CA 94602 - Phone
- (510) 482-6632
- Organisation at this address
- Lincoln Child Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 230
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California