Individual
ELIZABETH BASHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 MAIN STREET, SAN QUENTIN, CA 94964
(415) 454-1460
Mailing address
1 MAIN STREET, SAN QUENTIN, CA 94964
(415) 454-1460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28577
CA
Other
Enumeration date
09/09/2009
Last updated
03/24/2022
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