Annette A Strack
Clinical Psychologist
318 Western Ave
Petaluma
, California 94952-2919
Annette A Strack
Clinical Psychologist
318 Western Ave
Petaluma
, California 94952-2919
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Annette A Strack
- 318 Western Ave
- Petaluma, CA
- Zip : 94952-2919
- Phone :
Second Address
- Annette A Strack
- 318 Western Ave
- Petaluma, CA
- Zip : 94952-2919
- Phone : (707) 762-6216
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Is Annette A Strack a sole practitioner?
Is Annette A Strack accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY8452 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY8452 | CA |
National Provider Identifier
| NPI | 1003993239 |
|---|---|
| Provider Name | Annette A Strack |
| First Address | Petaluma, CA 94952-2919 |
| Second Address | Petaluma, CA 94952-2919 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.