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Organization
THERAPY IN DEPTH
Active
Organization
THERAPY IN DEPTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD FITZPATRICK PHD (PRESIDENT)
(415) 494-9823
Entity
Organization
Contact information
Practice address
2858 DIAMOND ST, SAN FRANCISCO, CA 94131-3055
(415) 494-9823
Mailing address
4083 24TH ST STE 304, SAN FRANCISCO, CA 94114-3715
(415) 494-9823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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