Individual
DR. ERIC JONATHAN FITZMEDRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5636 CASINO AVE, SAN PABLO, CA 94806-4232
(650) 814-7823
Mailing address
221 MAIN STRRET, #706, LOS ALTOS, CA 94023-0706
(650) 814-7823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23669
CA
Other
Enumeration date
03/02/2007
Last updated
12/06/2021
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