| Sonoma Memory Clinic | |
|
401 S A St Santa Rosa CA 95401-8518 | |
| (707) 544-4441 | |
| Not Available |
| Full Name | Sonoma Memory Clinic |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 401 S A St, Santa Rosa, California |
| Authorized Official Name and Position | Michael Fraga (DIRECTOR) |
| Authorized Official Contact | 7075444441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Memory Clinic 401 S A St Santa Rosa CA 95401-8518 Ph: (707) 544-4441 | Sonoma Memory Clinic 401 S A St Santa Rosa CA 95401-8518 Ph: (707) 544-4441 |
| NPI Number | 1487846069 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487846069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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