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DR. EDWIN B. BOTTUM-MORGAN PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225119456

Individual Registrant:
DR. EDWIN B. BOTTUM-MORGAN PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
100 TAMAL PLZ STE 195  CORTE MADERA, CA 94925-1181 US
Tel: 415-927-4800  Fax: --

Contact information for business:
100 TAMAL PLZ STE 195  CORTE MADERA, CA 94925-1181 US
Tel: 415-927-4800  Fax: --

Registration Information:
NPI: 1225119456
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY9703

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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