Individual
DR. ANNE MARIE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
610 D ST, SAN RAFAEL, CA 94901-3708
(415) 456-4452
(415) 663-8788
Mailing address
PO BOX 1023, POINT REYES STATION, CA 94956-1023
(415) 663-9520
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY15764
CA
Other
Enumeration date
11/25/2005
Last updated
03/17/2009
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