Individual
HANNAH WEDGLEY NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
870 MARKET ST, SUITE 1101, SAN FRANCISCO, CA 94102-3002
(415) 474-5820
(415) 520-9239
Mailing address
870 MARKET ST, SUITE 1101, SAN FRANCISCO, CA 94102-3002
(415) 474-5820
(415) 520-9239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18632
CA
Other
Enumeration date
09/27/2007
Last updated
12/14/2007
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