Individual
ANNE C DE LOVINFOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
711 D ST # 12, SAN RAFAEL, CA 94901-3707
(415) 456-5502
Mailing address
7130 C ST, EL CERRITO, CA 94530-4109
(415) 456-5502
(510) 527-4806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
16397
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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