Individual
JONATHAN D CANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2100 WEBSTER ST, SUITE 320, SAN FRANCISCO, CA 94115-2377
(415) 600-1491
(415) 474-9423
Mailing address
2100 WEBSTER STREET, SUITE 320, SAN FRANCISCO, CA 94115-2377
(415) 600-1491
(415) 474-9423
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY11376
CA
Other
Enumeration date
10/24/2006
Last updated
04/08/2008
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