Individual
DR. OMAR GABRIEL GUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS STE 242, SAN MATEO, CA 94403-1271
(650) 931-6565
Mailing address
2000 ALAMEDA DE LAS PULGAS STE 242, SAN MATEO, CA 94403-1271
(650) 931-6565
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
018596
NY
103TB0200X
Cognitive & Behavioral Psychologist
34415
CA
103TC2200X
Clinical Child & Adolescent Psychologist
018596
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
34415
CA
Other
Enumeration date
03/16/2007
Last updated
11/02/2023
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