Individual
DR. HARRY MALCOLM GAINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3972 24TH ST, SAN FRANCISCO, CA 94114-3704
(415) 254-0755
(415) 358-4273
Mailing address
3972 24TH ST, SAN FRANCISCO, CA 94114-3704
(415) 254-0755
(415) 358-4273
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19812
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY19812
CA
Other
Enumeration date
08/05/2006
Last updated
06/18/2013
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