Individual
DR. EMILIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1235 MISSION ST, SAN FRANCISCO, CA 94103-2705
(510) 645-9625
Mailing address
PO BOX 16188, OAKLAND, CA 94610-6188
(510) 645-9625
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
CA LIC PSY24145
CA
Other
Enumeration date
09/28/2012
Last updated
02/11/2022
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