Provider Demographics
NPI:1194965327
Name:BYRD-OLMSTEAD, JESSICA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ANNE
Last Name:BYRD-OLMSTEAD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3607 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4390
Mailing Address - Country:US
Mailing Address - Phone:510-226-5604
Mailing Address - Fax:510-770-8144
Practice Address - Street 1:3607 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-4390
Practice Address - Country:US
Practice Address - Phone:510-226-5604
Practice Address - Fax:510-770-8144
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2013-07-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist