Individual
DR. BEVERLY RAE MATSUISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18 MARINITA AVE, SAN RAFAEL, CA 94901-3431
(415) 258-1771
(415) 258-1771
Mailing address
18 MARINITA AVE, SAN RAFAEL, CA 94901-3431
(415) 258-1771
(415) 258-1771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16203
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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