Individual provider · Type 1 NPI

Jaseon S. Outlaw, PhD

Clinical Psychologist · San Leandro, CA

NPI number 1861747552 Active

Practice location

13847 E 14th St Ste 202
San Leandro, CA 94578-2626

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY23676 (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 1861747552

Jaseon S. Outlaw, PhD's National Provider Identifier is 1861747552, issued on Jul 18, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Leandro, CA. The record was last updated on Mar 29, 2016.