Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY 18588 | CA |
Y | 103T00000X | Psychologist | PSY 18588 | CA |
NPI | 1003967126 |
---|---|
Provider Name | Dr. James Patrick O'dowd |
First Address | San Francisco, CA 94102-3002 |
Second Address | San Francisco, CA 94102-3002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |