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833 Market St Suite 809 San Francisco CA 94103-1814 | |
| (415) 627-9095 | |
| (415) 627-9108 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 833 Market St, San Francisco, California |
| Authorized Official Name and Position | Shelley Peery (OWNER) |
| Authorized Official Contact | 4152186915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
833 Market St Suite 809 San Francisco CA 94103-1814 Ph: (415) 627-9095 | 833 Market St Suite 809 San Francisco CA 94103-1814 Ph: (415) 627-9095 |
| NPI Number | 1497149876 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497149876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 21904 (California) | Primary |
| 103T00000X | Psychologist | 21904 (California) | Secondary |
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