Annette A Strack PH.D.

NPI 1003993239 - Psychologist - 103TC0700X

NPI Details
NPI 1003993239
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
318 WESTERN AVE
PETALUMA CA, 94952-2919, US
Phone (707) 762-6216
Fax
Business Location
318 WESTERN AVE
PETALUMA CA, 94952-2919, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY8452
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According to our database, Annette A Strack PH.D. NPI is 1003993239, taxonomy code is 103TC0700X and license number is PSY8452, license state is located at California. Annette A Strack PH.D. physically located at 318 Western Ave, Petaluma CA, 94952-2919. NPI Number Annette A Strack PH.D. has the Individual type.

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1003993239 NPI number is provided on an as is basis without warranty of any kind. 1003993239 is maintained by the National Plan & Provider Enumeration System. The contents of Annette A Strack PH.D. are for informational purposes only.