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Organization
PACIFIC NEUROHEALTH, A PSYCHOLOGICAL CORPORATION
Active
Organization
PACIFIC NEUROHEALTH, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL COLE PHD (PRESIDENT)
(650) 245-5503
Entity
Organization
Contact information
Practice address
80 EUREKA SQ, SUITE 218, PACIFICA, CA 94044-2654
(650) 245-5503
Mailing address
80 EUREKA SQ, SUITE 218, PACIFICA, CA 94044-2654
(650) 245-5503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22834
CA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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