Individual
DR. ALAN STUART DEARBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1706 EL CAMINO REAL, SUITE 101, MENLO PARK, CA 94027-4127
(415) 933-9427
(650) 325-2019
Mailing address
1706 EL CAMINO REAL, SUITE 101, MENLO PARK, CA 94027-4127
(415) 933-9427
(650) 325-2019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PSY25011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY25011
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
03/06/2007
Last updated
11/13/2013
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