Organization
CLINICAL PSYCHOLOGY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA NEDELISKY PH.D. (MANAGING MEMBER)
(917) 331-1503
Entity
Organization
Contact information
Practice address
318 S B ST, SUITE 5, SAN MATEO, CA 94401-4092
(917) 331-1503
Mailing address
318 S B ST, SUITE 5, SAN MATEO, CA 94401-4092
(917) 331-1503
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY26298
CA
103TC0700X
Clinical Psychologist
Primary
PSY26298
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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