David G. Bullard, Ph.d. | |
1968 Green St San Francisco CA 94123-4811 | |
(415) 239-1584 | |
Not Available |
Full Name | David G. Bullard, Ph.d. |
---|---|
Speciality | Psychologist |
Location | 1968 Green St, San Francisco, California |
Authorized Official Name and Position | David Gilmore Bullard (PRESIDENT) |
Authorized Official Contact | 4152391584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David G. Bullard, Ph.d. 1968 Green St San Francisco CA 94123-4811 Ph: (415) 239-1584 | David G. Bullard, Ph.d. 1968 Green St San Francisco CA 94123-4811 Ph: (415) 239-1584 |
NPI Number | 1104047562 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104047562 | NPI | - | NPPES |
PSY4843 | Other | CA | PSYCHOLOGIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY4843 (California) | Primary |
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