Individual
SARAH RAFFAELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8350
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-5555
(415) 558-7035
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY30578
CA
103TC0700X
Clinical Psychologist
PSY30578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY30578
STATE MEDICAL LICENSE
CA
Enumeration date
08/07/2019
Last updated
09/09/2024
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