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Individual

DR. JOHN H POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3801 MIRANDA AVE # 117, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0526
Mailing address
3801 MIRANDA AVE # 117, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0526

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY16133
CA
103T00000X
Psychologist
PSY16133
CA
103TR0400X
Rehabilitation Psychologist
PSY16133
CA
1744R1102X
Research Study Specialist
PSY16133
CA

Other

Enumeration date
08/30/2006
Last updated
03/02/2011
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