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Individual

DR. HEATHER L. BORNFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(415) 476-7762
(415) 502-6364
Mailing address
1529 20TH ST, SAN FRANCISCO, CA 94107-2808
(415) 244-7684
(415) 502-2324

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19494
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00PSY194940
CA
Enumeration date
06/16/2006
Last updated
07/09/2007
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