Miccio, Evelyn
Miccio, Evelyn is an individual health care provider with primary practice located at 4141 Geary Blvd Fl 3 , San Francisco CA 94118-3111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Miccio, Evelyn can be contacted via phone (510) 798-3311.Contact Information
Primary practice address
4141 Geary Blvd Fl 3
San Francisco CA 94118-3111
Phone: (510) 798-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY18955 | California |
Profile Details
| NPI number | 1538220397 |
|---|---|
| LBN Legal business name | Miccio, Evelyn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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