Individual
CARAVELLA MCCUISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1001 POTRERO AVE # WARD86, SAN FRANCISCO, CA 94110-3518
(510) 479-0832
Mailing address
490 ILLINOIS STREET, FLOOR 7, CAMPUS BOX 0936, SAN FRANCISCO, CA 94143
(510) 479-0832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32291
CA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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