Individual
ELENA NOELLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 BUSH ST STE 209, SAN FRANCISCO, CA 94109-5297
(415) 323-0161
Mailing address
936B 7TH ST # 152, NOVATO, CA 94945-3002
(415) 323-0161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28948
CA
Other
Enumeration date
09/27/2012
Last updated
10/25/2021
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