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Organization
INSTITUTE ON AGING
Active
Organization
INSTITUTE ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE ANTONIA TEN TUSSCHER PHD (VICE PRESIDENT CLINICAL PROGRAMS)
(415) 750-4180
Entity
Organization
Contact information
Practice address
3330 GEARY BLVD, SAN FRANCISCO, CA 94118-3347
(415) 750-4180
(415) 750-4108
Mailing address
3330 GEARY BLVD, SAN FRANCISCO, CA 94118-3347
(415) 750-4180
(415) 750-4108
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY15889
CA
103TC0700X
Clinical Psychologist
Primary
PSY20118
CA
Other
Enumeration date
08/21/2006
Last updated
09/11/2025
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