Individual
ANDREW E BERTAGNOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
7740 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8514
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11380
MA
103T00000X
Psychologist
1638
HI
103T00000X
Psychologist
Primary
PSY15734
CA
103TC0700X
Clinical Psychologist
PY61078674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00360060
RAILROAD MEDICARE
CA
Enumeration date
03/30/2007
Last updated
07/31/2026
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