Organization
JESS H. GHANNAM, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESS H GHANNAM PHD (PRESIDENT/OWNER)
(415) 921-8096
Entity
Organization
Contact information
Practice address
1939 DIVISADERO ST STE 3, SAN FRANCISCO, CA 94115-2507
(415) 921-8096
(415) 354-3377
Mailing address
1939 DIVISADERO ST STE 3, SAN FRANCISCO, CA 94115-2507
(415) 921-8096
(415) 354-3377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9261
CA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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