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DR. STEPHEN DREW PH.D.

Clinical Neuropsychologist

San Rafael, California

Provider NPI: 1255465266

Provider Information:
DR. STEPHEN  DREW PH.D.
Gender: M
Sole Proprietor


Practice Location:
750 LAS GALLINAS AVE STE 203  SAN RAFAEL, CA 94903 US
Tel: 415-491-4859  Fax: --

Business Mailing Address:
PO BOX 6121  SAN RAFAEL, CA 94903 US
Tel: 415-491-4859  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
CAPSY12302
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY12302

Other Provider Identifiers:

IssuerNumberStateType
PSY123020CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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