Individual
AMANDA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3644 MARKET ST, SAN FRANCISCO, CA 94131-1339
(415) 796-2801
(415) 796-3309
Mailing address
3644 MARKET ST, SAN FRANCISCO, CA 94131-1339
(415) 796-2801
(415) 796-3309
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 20207
CA
103TC0700X
Clinical Psychologist
Primary
PSY 20207
CA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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