| Psyche-soma Clinic | |
|
2506 Clay St San Francisco CA 94115-1811 | |
| (415) 451-7056 | |
| (415) 456-8578 |
| Full Name | Psyche-soma Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2506 Clay St, San Francisco, California |
| Authorized Official Name and Position | Stephen J Ducat (OWNER) |
| Authorized Official Contact | 4154517056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyche-soma Clinic 2506 Clay St San Francisco CA 94115-1811 Ph: (415) 451-7056 | Psyche-soma Clinic 2506 Clay St San Francisco CA 94115-1811 Ph: (415) 451-7056 |
| NPI Number | 1023322864 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023322864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 14896 (California) | Primary |
| 133N00000X | Nutritionist | 180 (California) | Secondary |
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