Individual
B L. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 FRONT ST, SAN FRANCISCO, CA 94111-1945
(707) 508-6341
Mailing address
PO BOX 9041, SANTA ROSA, CA 95405-1041
(707) 508-6341
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
03/18/2010
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