Individual
BENJAMIN MOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(415) 422-6352
Mailing address
119 KOCH RD, CORTE MADERA, CA 94925-1260
(202) 870-0548
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26753
CA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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