Healthcare Provider Details

I. General information

NPI: 1801651567
Provider Name (Legal Business Name): REDWOOD PSYCHOLOGY & CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 31ST AVE
SAN FRANCISCO CA
94122-1419
US

IV. Provider business mailing address

58 W PORTAL AVE # 651
SAN FRANCISCO CA
94127-1304
US

V. Phone/Fax

Practice location:
  • Phone: 415-295-2556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ALISON HU
Title or Position: CEO
Credential:
Phone: 415-295-2556