Organization
ANNE ELISE INGHAM, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE INGHAM PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(650) 391-6186
Entity
Organization
Contact information
Practice address
550 HAMILTON AVE STE 320, PALO ALTO, CA 94301-2031
(650) 391-6186
Mailing address
3772 LA DONNA AVE, PALO ALTO, CA 94306-3150
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY27362
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PSY27362
CA
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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