SearchCalifornia1041C0700X

Jennifer Shallat, LCSW

NPI 1629271499 · on the registry since 2007

Practice

Address
390 40th St
Oakland, CA 94609
Phone
(510) 653-5040
Fax
(510) 653-6475
Organisation at this address
Bacs
Thunder Road
Bay Area Community Services
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
774

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-12-01

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