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Contact Information

ENOWOGHOMWENMA OSAGHAE
1615 POLK ST STE 3
SAN FRANCISCO, CA94109-3698
 Phone: 415-237-3598
 Fax: 628-388-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Behavior Analyst

103K00000X
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ENOWOGHOMWENMA OSAGHAE · (Male)

NPI # 1881078798
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2015
Last updated 10/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 34976
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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