Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 25431 | CA |
Y | 103TC0700X | Clinical Psychologist | 25431 | CA |
N | 103TP0814X | Psychoanalysis | 25431 | CA |
NPI | 1003240284 |
---|---|
Provider Name | Anett Atman |
First Address | San Francisco, CA 94118-1702 |
Second Address | San Francisco, CA 94118-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2013 |
Last Update Date | 24/08/2013 |