Individual
DR. BRENDA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2800 THIRD STREET, SAN FRANCISCO, CA 94107
(415) 775-4866
Mailing address
2800 THIRD STREET, SAN FRANCISCO, CA 94107
(415) 775-4846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9617
CA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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