Individual
DR. ELIZABETH GADOMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4001 HOWE ST, OAKLAND, CA 94611-5211
(415) 890-3995
Mailing address
4001 HOWE ST, OAKLAND, CA 94611-5211
(917) 568-1564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTH CARE
CA
01
—
9562
SFGH INTERNAL USE ONLY
—
Enumeration date
04/25/2007
Last updated
02/19/2015
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