Individual
ANASTASIA ANISHCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
845 EL CAMINO REAL, MENLO PARK, CA 94025-4807
(650) 762-8352
(188) 896-5057
Mailing address
845 EL CAMINO REAL, MENLO PARK, CA 94025-4807
(650) 762-8352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35384
CA
Other
Enumeration date
10/14/2015
Last updated
10/02/2024
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