Jonathan D Canick, PhD
Clinical Neuropsychologist in San Francisco, CA. Individual provider (NPI-1).
NPI number1720162944
StatusActive
Last updated in NPPESApr 8, 2008
Details
- NPI
- 1720162944
- Entity type
- Individual (NPI-1)
- Name
- Jonathan D Canick
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2006
- Last updated
- Apr 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY11376 | CA | Yes |
Practice location
2100 Webster StSuite 320
San Francisco, CA 94115-2377
Phone 415-600-1491 · Fax 415-474-9423
Mailing address
2100 Webster StreetSuite 320
San Francisco, CA 94115-2377
Phone 415-600-1491 · Fax 415-474-9423
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