Individual provider · Type 1 NPI

Ashley Melissa Tate de Lara, PSY.D.

Clinical Psychologist · San Jose, CA

NPI number 1366777906 Active

Practice location

650 N Winchester Blvd, Suite 4
San Jose, CA 95128-1511

Call (650) 271-4621 Map

Mailing address

1800 Harrison St, 7th Fl
Oakland, CA 94612-3429

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY23064 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1366777906

Ashley Melissa Tate de Lara, PSY.D.'s National Provider Identifier is 1366777906, issued on Oct 15, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Jose, CA. The record was last updated on Jan 20, 2022.