| NPI | 1609569672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DANIEL GUSTMAN Practice Owner/Psychologist 415-295-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |