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Organization
MIND AND BODY PSYCHOLOGICAL SERVICES, PC
Active
Organization
MIND AND BODY PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA DOUBNOVA PSYD (PSYCHOLOGIST)
(415) 710-4879
Entity
Organization
Contact information
Practice address
2409 19TH AVE STE B4, SAN FRANCISCO, CA 94116-2495
(415) 710-4879
(415) 564-3167
Mailing address
2409 19TH AVE STE B4, SAN FRANCISCO, CA 94116-2495
(415) 710-4879
(415) 564-3167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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