Nicole Lara Sucre
Health Psychologist Clinical Psychologist Adult Development & Aging Psychologist
1700 Pierce St Ste 103
San Francisco
, California 94115-3187
Nicole Lara Sucre
Health Psychologist Clinical Psychologist Adult Development & Aging Psychologist
1700 Pierce St Ste 103
San Francisco
, California 94115-3187
(415) 901-0316
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Nicole Lara Sucre
- 1700 Pierce St Ste 103
- San Francisco, CA
- Zip : 94115-3187
- Fax : (415) 901-0316
- Phone : (415) 999-3264
Second Address
- Nicole Lara Sucre
- 1700 Pierce St Ste 103
- San Francisco, CA
- Zip : 94115-3187
- Fax : (415) 901-0316
- Phone : (415) 999-3264
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 23714 | CA |
| N | 103TC0700X | Clinical Psychologist | 23714 | CA |
| N | 103TA0700X | Adult Development & Aging Psychologist | 23714 | CA |
| Y | 103G00000X | Clinical Psychologist | 23714 | CA |
| Y | 103TC0700X | Clinical Psychologist | 23714 | CA |
| N | 103TH0004X | Health Psychologist | 23714 | CA |
National Provider Identifier
| NPI | 1669789194 |
|---|---|
| Provider Name | Nicole Lara Sucre |
| First Address | San Francisco, CA 94115-3187 |
| Second Address | San Francisco, CA 94115-3187 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/09/2010 |
| Last Update Date | 10/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.