Dr. Jeremy Coles, PH.D.
Psychologist, Forensic in Oakland, CA. Individual provider (NPI-1).
NPI number1861696635
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1861696635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy Coles
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2007
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TF0200X | Psychologist, Forensic | PSY15992 | CA | Yes |
| 174400000X | Specialist | PSY15992 | CA |
Practice location
3873 Howe StOakland, CA 94611-5343
Phone 510-339-6733
Mailing address
4096 Piedmont Ave # 325Oakland, CA 94611-5221
Phone 510-339-6733
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