Jess H. Ghannam, Phd, Inc. | |
1939 Divisadero St Ste 3 San Francisco CA 94115-2507 | |
(415) 921-8096 | |
(415) 354-3377 |
Full Name | Jess H. Ghannam, Phd, Inc. |
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Speciality | Psychologist |
Location | 1939 Divisadero St Ste 3, San Francisco, California |
Authorized Official Name and Position | Jess H Ghannam (PRESIDENT/OWNER) |
Authorized Official Contact | 4159218096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jess H. Ghannam, Phd, Inc. 1939 Divisadero St Ste 3 San Francisco CA 94115-2507 Ph: (415) 921-8096 | Jess H. Ghannam, Phd, Inc. 1939 Divisadero St Ste 3 San Francisco CA 94115-2507 Ph: (415) 921-8096 |
NPI Number | 1730438722 |
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Provider Enumeration Date | 09/05/2012 |
Last Update Date | 09/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730438722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY 9261 (California) | Primary |
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