Individual
ANDREW MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3184 OLD TUNNEL RD STE A, LAFAYETTE, CA 94549-4153
(925) 360-9929
(925) 933-8871
Mailing address
57 SADDLE RD, WALNUT CREEK, CA 94595-2743
(925) 360-9929
(925) 933-8871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 8036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 8036
PSYCHOLOGIST LICENSE
CA
Enumeration date
10/28/2008
Last updated
10/28/2008
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