| NPI | 1518312776 |
|---|---|
| Doing Business As | THE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRITNEY BLAIR President 415-843-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25823) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27682) |
| 103T00000X Psychologist (Licence: CA PSY18633) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY28205) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A131973) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A132445) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A139189) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A110449) | |
| 103T00000X Psychologist (Licence: CA 26102) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A138139) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2017-01-17 |