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Dr. Jessica Deitch, PsyD

Psychologist, Clinical in San Francisco, CA. Individual provider (NPI-1).

NPI number1669958435
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1669958435
Entity type
Individual (NPI-1)
Name
Dr. Jessica Deitch
Credential
PsyD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2018
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY30137CAYes

Practice location

2030 Divisadero St
San Francisco, CA 94115-2113

Phone 415-890-6818

Mailing address

2030 Divisadero St
San Francisco, CA 94115-2113

Phone 415-890-6818

Other practice locations

2504 Clay St
San Francisco, CA 94115-1811

Phone 415-890-6818

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