Individual
ELENA BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27167
CA
Other
Enumeration date
05/14/2012
Last updated
05/19/2015
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