Individual
GAYATHRI MARINI PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
244 MYRTLE ST, SAN FRANCISCO, CA 94109-6838
(510) 667-9996
Mailing address
14728 SATURN DR, SAN LEANDRO, CA 94578-1347
(510) 667-9199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20928
CA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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