| Danzig Psychological Services, Pc | |
|
45 San Clemente Dr Ste D210 Corte Madera CA 94925-1297 | |
| (415) 360-1406 | |
| Not Available |
| Full Name | Danzig Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 45 San Clemente Dr Ste D210, Corte Madera, California |
| Authorized Official Name and Position | Allison Pennock Danzig (PRESIDENT) |
| Authorized Official Contact | 6039692014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danzig Psychological Services, Pc 400 Avila St Apt 205 San Francisco CA 94123-1125 Ph: (603) 969-2014 | Danzig Psychological Services, Pc 45 San Clemente Dr Ste D210 Corte Madera CA 94925-1297 Ph: (415) 360-1406 |
| NPI Number | 1285153999 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 09/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285153999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 29453 (California) | Primary |
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