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Individual

DR. DEBORAH VAUGHAN KOHLOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2481 CLAY STREET, SUITE 203, SAN FRANCISCO, CA 94115
(917) 940-1642
(415) 227-9997
Mailing address
2481 CLAY STREET - #203, SUITE 203, SAN FRANCISCO, CA 94115
(917) 940-1642
(415) 227-9997

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019229-01
NY
103TC0700X
Clinical Psychologist
32775
CA
103TC0700X
Clinical Psychologist
PSY15436
CA

Other

Enumeration date
07/06/2007
Last updated
03/03/2022
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