Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY8403 | CA |
Y | 103G00000X | Clinical Psychologist | PSY8403 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY8403 | CA |
NPI | 1215113840 |
---|---|
Provider Name | Dr. William M Hartman |
First Address | San Francisco, CA 94109-5455 |
Second Address | San Francisco, CA 94109-5455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 14/01/2008 |