Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist |
NPI | 1013104132 |
---|---|
Provider Name | Dr. David S Pursell |
First Address | San Francisco, CA 94103-2705 |
Second Address | San Francisco, CA 94103-2705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2007 |
Last Update Date | 08/09/2016 |