Dorham, Carole Larue

Dorham, Carole Larue is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Dorham, Carole Larue can be contacted via phone (510) 835-1393.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 835-1393
Fax: (510) 835-2497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY21277 California

Profile Details

NPI number 1952456642
LBN Legal business name Dorham, Carole Larue
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

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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