Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY20417 | CA |
NPI | 1043373970 |
---|---|
Provider Name | Dr. Sylvanna Gavia Callaway Brennan |
First Address | San Francisco, CA 94118-3118 |
Second Address | San Francisco, CA 94118-3118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 11/01/2022 |