Organization
HEALING REALMS PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA KATZMAN PSYD (PRESIDENT)
(415) 570-4277
Entity
Organization
Contact information
Practice address
4200 18TH ST STE 202, SAN FRANCISCO, CA 94114-2449
(415) 570-4277
Mailing address
4200 18TH ST STE 202, SAN FRANCISCO, CA 94114-2449
(415) 570-4277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083744502
NPI
—
Enumeration date
02/01/2020
Last updated
02/01/2020
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