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Organization
PSYCHE-SOMA CLINIC
Active
Organization
PSYCHE-SOMA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J DUCAT N.D.,PH.D (OWNER)
(415) 451-7056
Entity
Organization
Contact information
Practice address
2506 CLAY ST, SAN FRANCISCO, CA 94115-1811
(415) 451-7056
(415) 456-8578
Mailing address
2506 CLAY ST, SAN FRANCISCO, CA 94115-1811
(415) 451-7056
(415) 456-8578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14896
CA
133N00000X
Nutritionist
180
CA
Other
Enumeration date
08/04/2010
Last updated
04/21/2011
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