Individual
DR. EVELYN MICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4141 GEARY BLVD FL 3, SAN FRANCISCO, CA 94118-3111
(510) 798-3311
Mailing address
4141 GEARY BLVD FL 3, SAN FRANCISCO, CA 94118-3111
(510) 798-3311
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY18955
CA
Other
Enumeration date
12/13/2006
Last updated
01/03/2022
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