Individual
ANNELIESE ELIZABETH RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2875 MIDDLEFIELD RD, PALO ALTO, CA 94306
(207) 387-0740
Mailing address
192 FABLE CT, MOUNTAIN VIEW, CA 94043-5236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29952
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/26/2008
Last updated
07/31/2018
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