Organization
SAN MATEO PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADSHAW (OWNER-DIRECTOR)
(650) 343-6955
Entity
Organization
Contact information
Practice address
100 S ELLSWORTH AVE, # 802, SAN MATEO, CA 94401-3939
(650) 343-6955
(650) 343-6981
Mailing address
100 S ELLSWORTH AVE, # 802, SAN MATEO, CA 94401-3939
(650) 343-6955
(650) 343-6981
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PSY7955
CA
Other
Enumeration date
03/10/2009
Last updated
05/07/2009
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