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General NPI Number Information
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NPI Number | 1013244409
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Entity Type | Individual
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Provider Name | ELENA GREEN DOBBS PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 350 SANSOME ST STE 630
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-1311
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Country | US
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Telephone | 925-282-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 350 SANSOME ST STE 630
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-1311
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Country | US
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Telephone | 925-282-1778
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MMH 10089
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 32289
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 32289
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License Number State | CA
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