Santos-Modesitt, Wendy
Santos-Modesitt, Wendy is an individual health care provider with primary practice located at 747 52Nd St Department Of Neuro-Oncology, Oakland CA 94609-1809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Santos-Modesitt, Wendy can be contacted via phone (510) 428-3885.Contact Information
Primary practice address
747 52Nd St Department Of Neuro-Oncology
Oakland CA 94609-1809
Phone: (510) 428-3885
Fax: (510) 597-7199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY27242 | California |
Profile Details
| NPI number | 1104087576 |
|---|---|
| LBN Legal business name | Santos-Modesitt, Wendy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Mar 22nd, 2016 - about 9 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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