Whalio Doctors

NPI 1013148469

Maria Jose Prieto de Estebecorena, PHD

Practitioner Clinical Neuropsychologist San Rafael, CA

Practice location

Address
2154 4th St, San Rafael, CA 94901-2694
Phone
(415) 457-3451
Fax
(415) 457-3819

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY22819 (CA)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY22819 (CA)

Registry record

NPI
1013148469
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Aug 2009
Record last updated
14 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.