Individual
DR. ELISABETH RUTH MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 WALSH AVE, SUITE C1, SANTA CLARA, CA 95050-2545
(408) 497-9977
Mailing address
PO BOX 152, LOS ALTOS, CA 94023-0152
(408) 497-9977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 16746
CA
Other
Enumeration date
01/24/2007
Last updated
08/08/2013
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