Healthcare Provider Details

I. General information

NPI: 1851733638
Provider Name (Legal Business Name): MR. AMARDEEP SEKHON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 MISSION ST
SAN FRANCISCO CA
94103-2705
US

IV. Provider business mailing address

1235 MISSION ST
SAN FRANCISCO CA
94103-2705
US

V. Phone/Fax

Practice location:
  • Phone: 415-558-1331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY30732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: