Individual
DR. ELISSA WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-3410
(415) 491-3013
Mailing address
988 FULTON ST, 321, SAN FRANCISCO, CA 94117-1770
(972) 345-6705
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PSY26236
CA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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