Individual
DR. ELISABETH ELLEN GANIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
310 JAMES WAY STE 110, PISMO BEACH, CA 93449-2877
(559) 871-3617
(805) 752-1128
Mailing address
1644 12TH ST, LOS OSOS, CA 93402-2204
(559) 871-3617
(805) 752-1128
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22623
CA
Other
Enumeration date
01/24/2007
Last updated
04/12/2018
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