Individual
DR. ANNALISE OPHELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
463 DUBOCE AVE, SAN FRANCISCO, CA 94117
(415) 598-3092
Mailing address
2261 MARKET ST # 293, SAN FRANCISCO, CA 94114-1612
(415) 598-3092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33084
CA
103T00000X
Psychologist
PSY.0006478
CO
Other
Enumeration date
12/28/2006
Last updated
08/18/2024
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