Organization
BATHORI PSYCHOLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON BATHORI PSY.D. (DIRECTOR)
(650) 323-1225
Entity
Organization
Contact information
Practice address
467 HAMILTON AVE, SUITE 22, PALO ALTO, CA 94301-1830
(650) 323-1225
(650) 323-1277
Mailing address
467 HAMILTON AVE, SUITE 22, PALO ALTO, CA 94301-1830
(650) 323-1225
(650) 323-1277
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY22938
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY22938
CA
103TP0814X
Psychoanalysis Psychologist
PSY22938
CA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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