Individual
MICHAEL H DEBELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1838 EL CAMINO REAL STE 100, BURLINGAME, CA 94010-3105
(510) 316-4364
Mailing address
3218 ROOSEVELT AVE, RICHMOND, CA 94804-1548
(510) 316-4364
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY24336
CA
103T00000X
Psychologist
PSY24336
CA
Other
Enumeration date
10/24/2011
Last updated
07/09/2019
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