| San Francisco Dbt Center: Psychological Corporation | |
|
1735a Union St San Francisco CA 94123-4406 | |
| (415) 775-0475 | |
| (415) 345-1923 |
| Full Name | San Francisco Dbt Center: Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1735a Union St, San Francisco, California |
| Authorized Official Name and Position | Deborah Mitchell (PRESIDENT) |
| Authorized Official Contact | 4152716524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Francisco Dbt Center: Psychological Corporation 1735a Union St San Francisco CA 94123-4406 Ph: (415) 775-0475 | San Francisco Dbt Center: Psychological Corporation 1735a Union St San Francisco CA 94123-4406 Ph: (415) 775-0475 |
| NPI Number | 1912057332 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 01/21/2009 |
| Medicare PECOS PAC ID | 6507918232 |
|---|---|
| Medicare Enrollment ID | O20090710000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912057332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Deborah M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588762363 PECOS PAC ID: 7911058599 Enrollment ID: I20090622000157 |
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