Individual
DR. GREGORY ANTHONY FONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
870 MARKET ST, SUITE 958, SAN FRANCISCO, CA 94102-3099
(650) 394-6586
Mailing address
870 MARKET ST, SUITE 958, SAN FRANCISCO, CA 94102-3099
(650) 394-6586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27812
CA
Other
Enumeration date
10/09/2009
Last updated
01/11/2016
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