Individual
DANA NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1683 NOVATO BLVD STE 1B, NOVATO, CA 94947-3204
(510) 798-0550
Mailing address
268 BUSH ST # 3631, SAN FRANCISCO, CA 94104-3503
(510) 798-0550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24194
CA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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