| Connected Lives Psychological Corp. | |
|
78 Ocean Ave San Francisco CA 94112-2549 | |
| (415) 846-7547 | |
| Not Available |
| Full Name | Connected Lives Psychological Corp. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 78 Ocean Ave, San Francisco, California |
| Authorized Official Name and Position | Suellen Lee (DIRECTOR) |
| Authorized Official Contact | 4168467547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Lives Psychological Corp. 1628 Alemany Blvd San Francisco CA 94112-2610 Ph: (415) 846-7547 | Connected Lives Psychological Corp. 78 Ocean Ave San Francisco CA 94112-2549 Ph: (415) 846-7547 |
| NPI Number | 1215447628 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215447628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY27801 (California) | Primary |
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