Individual
TEAL MACKINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
870 MARKET ST, SAN FRANCISCO, CA 94102-3099
(659) 729-9819
Mailing address
310 LILY ST, SAN FRANCISCO, CA 94102-5608
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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