Most Relevant Information
Provider Data
| NPI Number: | 1003014739 |
| Provider Name: | B L. ELLIOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 103TR0400X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2007 |
| Last Updated: | 03/18/2010 |
Provider Practice Location
747 FRONT ST
SAN FRANCISCO
CA
941111945
Practice Location Phone/Fax
| Phone: | 7075086341 |
| Fax: |
Provider Mailing Location
PO BOX 9041
SANTA ROSA
CA
954051041
Provider Mailing Phone/Fax
| Phone: | 7075086341 |
| Fax: |