David Gage Cushman, Psy.D.
Psychologist, Clinical in Oakland, CA. Individual provider (NPI-1).
NPI number1154635571
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1154635571
- Entity type
- Individual (NPI-1)
- Name
- David Gage Cushman
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2010
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | CA PSY 28312 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 103T00000X | Psychologist | – | – |
Practice location
445 Bellevue AveSuite 202
Oakland, CA 94610-4923
Phone 415-841-2481
Mailing address
445 Bellevue AveSuite 202
Oakland, CA 94610-4923
Phone 415-841-2481
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