Individual
DR. ANN GOLD BUSCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
711 D ST, SUITE 207, SAN RAFAEL, CA 94901-3707
(415) 456-0952
Mailing address
711 D ST, SUITE 207, SAN RAFAEL, CA 94901-3707
(415) 456-0952
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 16643
CA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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