Xiaoxia Song
Psychologist, Clinical in Berkeley, CA. Individual provider (NPI-1).
NPI number1053942425
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1053942425
- Entity type
- Individual (NPI-1)
- Name
- Xiaoxia Song
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31548 | CA | Yes |
Practice location
2222 Bancroft WayBerkeley, CA 94720-4301
Phone 510-642-8603
Mailing address
2222 Bancroft WayBerkeley, CA 94720-4301
Phone 510-642-8603
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