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Individual

DR. GERALD PUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
555 MIDDLEFIELD RD # 208, PALO ALTO, CA 94301-2124
(650) 328-5821
(650) 508-9099
Mailing address
555 MIDDLEFIELD RD # 208, PALO ALTO, CA 94301-2124
(650) 328-5821
(650) 508-9099

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
006074-1
NY
103TC0700X
Clinical Psychologist
Primary
PSY 10704
CA

Other

Enumeration date
04/10/2009
Last updated
04/10/2009
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