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Individual

DR. JUSTIN MATTHEW D'AVELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
PO BOX 593, SAN FRANCISCO, CA 94104-0593
(415) 202-5159
(415) 476-6202

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27419
CA

Other

Enumeration date
09/09/2009
Last updated
12/17/2020
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