Banda, Bridget Leticia
Banda, Bridget Leticia is an individual health care provider with primary practice located at 7200 Bancroft Ave Ste 125B , Oakland CA 94605-2456. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Banda, Bridget Leticia can be contacted via phone (510) 777-4240.Contact Information
Primary practice address
7200 Bancroft Ave Ste 125B
Oakland CA 94605-2456
Phone: (510) 777-4240
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PSB33631 | California |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | IMF42123 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | NA | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1508906280 |
---|---|
LBN Legal business name | Banda, Bridget Leticia |
Credentials | PSY.D., MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Feb 7th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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