Individual
ELIZABETH CHERNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(650) 302-2242
Mailing address
PO BOX 1322, BROOKINGS, OR 97415-0122
(650) 302-2242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 23173
CA
Other
Enumeration date
01/08/2010
Last updated
12/31/2012
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