Individual
DR. CHASTAIN CLIFFORD ATTKISSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
660 AMARANTH BLVD, MILL VALLEY, CA 94941-2605
(415) 310-5396
(415) 383-7749
Mailing address
660 AMARANTH BLVD, MILL VALLEY, CA 94941-2605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3653
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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