Healthcare Provider Details

I. General information

NPI: 1326437617
Provider Name (Legal Business Name): PRESENCELEARNING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 MARKET ST 6TH FLOOR
SAN FRANCISCO CA
94104-5403
US

IV. Provider business mailing address

580 MARKET ST 6TH FLOOR
SAN FRANCISCO CA
94104-5403
US

V. Phone/Fax

Practice location:
  • Phone: 415-512-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. CLAY WHITEHEAD
Title or Position: FOUNDER AND CO-CEO
Credential:
Phone: 415-512-9000