| Clinical Integrative Services, Inc | |
|
505 1st Ave San Mateo CA 94401-3213 | |
| (415) 517-9235 | |
| Not Available |
| Full Name | Clinical Integrative Services, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 505 1st Ave, San Mateo, California |
| Authorized Official Name and Position | Annette Goldman (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 4155179235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Integrative Services, Inc 731a 2nd Ave San Francisco CA 94118-4020 Ph: (415) 517-9235 | Clinical Integrative Services, Inc 505 1st Ave San Mateo CA 94401-3213 Ph: (415) 517-9235 |
| NPI Number | 1801467055 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801467055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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