Individual
DR. ELIZABETH WANTUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
56 VARDA LANDING RD, SAUSALITO, CA 94965-1417
(415) 847-1978
Mailing address
56 VARDA LANDING RD, SAUSALITO, CA 94965-1417
(415) 847-1978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 18779
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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