Provider Demographics
NPI:1962235317
Name:OAKLAND UNIFIED SCHOOL PSYCHOLOGIST
Entity type:Organization
Organization Name:OAKLAND UNIFIED SCHOOL PSYCHOLOGIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:BISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PPS
Authorized Official - Phone:510-879-5004
Mailing Address - Street 1:1011 UNION ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2236
Mailing Address - Country:US
Mailing Address - Phone:510-879-5004
Mailing Address - Fax:
Practice Address - Street 1:1011 UNION ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2236
Practice Address - Country:US
Practice Address - Phone:510-879-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty