Michelle Shariat-hansen | |
2 Commercial Blvd Suite 200 Novato CA 94949-6123 | |
(415) 497-7094 | |
(415) 883-3014 |
Full Name | Michelle Shariat-hansen |
---|---|
Speciality | Psychologist |
Location | 2 Commercial Blvd, Novato, California |
Authorized Official Name and Position | Michelle Shariat-hansen (PSYCHOLOGIST) |
Authorized Official Contact | 4154977094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michelle Shariat-hansen 2 Commercial Blvd Suite 200 Novato CA 94949-6123 Ph: (415) 497-7094 | Michelle Shariat-hansen 2 Commercial Blvd Suite 200 Novato CA 94949-6123 Ph: (415) 497-7094 |
NPI Number | 1265791610 |
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Provider Enumeration Date | 05/04/2012 |
Last Update Date | 05/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265791610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY19389 (California) | Primary |
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