Provider Demographics
NPI:1164787354
Name:WESTWOOD, DAVID PETER (PSYCHOLOGICAL ASSIST)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PETER
Last Name:WESTWOOD
Suffix:
Gender:M
Credentials:PSYCHOLOGICAL ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1201 BRICKYARD WAY
Mailing Address - Street 2:#416
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4139
Mailing Address - Country:US
Mailing Address - Phone:510-235-6111
Mailing Address - Fax:
Practice Address - Street 1:19375 HIGHWAY 116
Practice Address - Street 2:
Practice Address - City:MONTE RIO
Practice Address - State:CA
Practice Address - Zip Code:95462-9716
Practice Address - Country:US
Practice Address - Phone:707-865-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94020864103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical