Individual
DR. ALLISON L BROENNIMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1939 DIVISADERO ST, SUITE 1-C, SAN FRANCISCO, CA 94115-2507
(888) 667-4828
(855) 748-9025
Mailing address
PO BOX 2451, NOVATO, CA 94948-2451
(888) 667-4828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY24463
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
09/15/2010
Last updated
08/27/2012
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