Priddy, J. Michael

Priddy, J. Michael is an individual health care provider with primary practice located at 1801 Bush St Suite 111, San Francisco CA 94109-5239. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Priddy, J. Michael can be contacted via phone (415) 752-2726.

Contact Information

Primary practice address
1801 Bush St Suite 111 San Francisco CA 94109-5239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10186 California

Profile Details

NPI number 1144283466
LBN Legal business name Priddy, J. Michael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144283466 NPPES
California Other PSY10186 STATE LICENSE

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