Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY23503 | CA |
Y | 103G00000X | Clinical Psychologist | PSY23503 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY23503 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY23503 | CA |
NPI | 1205989399 |
---|---|
Provider Name | Dr. Debora A Fletcher |
First Address | San Francisco, CA 94115-2047 |
Second Address | San Francisco, CA 94115-2047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 14/10/2010 |