| Ann Strack, Ph.d. | |
|
318 Western Ave Petaluma CA 94952-2919 | |
| (707) 762-6216 | |
| Not Available |
| Full Name | Ann Strack, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 318 Western Ave, Petaluma, California |
| Authorized Official Name and Position | Annette Strack (OWNER) |
| Authorized Official Contact | 7077626216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Strack, Ph.d. 318 Western Ave Petaluma CA 94952-2919 Ph: () - | Ann Strack, Ph.d. 318 Western Ave Petaluma CA 94952-2919 Ph: (707) 762-6216 |
| NPI Number | 1871238311 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871238311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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