Individual
ELLIOTT ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 SAN JOSE AVE APT 4, SAN FRANCISCO, CA 94110-3052
(415) 695-0499
Mailing address
115 SAN JOSE AVE APT 4, SAN FRANCISCO, CA 94110-3052
(415) 695-0499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY112020
—
CA
Enumeration date
07/25/2006
Last updated
11/28/2012
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