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Contact Information

MICHAEL D SHORE, PH D
1947 DIVISADERO ST
SUITE 5
SAN FRANCISCO, CA94115
 Phone: 415-751-0316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for MICHAEL D SHORE · (Male)

NPI Number 1063526192
Status Active
Credentials PH D
Entity Individual
Enumeration date 08/18/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY 6837
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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