Harris-Thomas, Dudleasa Stacie

Harris-Thomas, Dudleasa Stacie is an sole proprietor health care provider with primary practice located at 969 Broadway , Oakland CA 94607-4017. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Harris-Thomas, Dudleasa Stacie can be contacted via phone (510) 251-3905.

Contact Information

Primary practice address
969 Broadway Oakland CA 94607-4017
Phone: (510) 251-3905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17974 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17974 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY17974 California

Profile Details

NPI number 1932265170
LBN Legal business name Harris-Thomas, Dudleasa Stacie
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Feb 11th, 2022 - about 2 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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