| NPI | 1205931078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CERYES Medical Staff Coordinator 415-353-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16433) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |