Individual
DR. CHARLOTTE INGE GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
PALO ALTO VAHCS (151K-MP), 3801 MIRANDA AVENUE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
PALO ALTO VAHCS (151K-MP), 3801 MIRANDA AVENUE, PALO ALTO, CA 94304-1207
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9421
CA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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