Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MICHAEL DUBOS
ActiveJONATHAN MICHAEL DUBOS is a Child, Clinical Psychologist healthcare provider located in SAN RAFAEL, California. NPI 1174930085 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1174930085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2014 (11.902580637941 yrs)
- Last Updated
- Apr 10, 2023
- License
-
PSY33913 (CA)
Practice Information
- Address
-
111 SMITH RANCH RDSAN RAFAEL, CA, 949031939Browse CA providers · Browse ZIP 94903
- Phone
- 4154913000
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Child, Clinical Psychologist
Other Child, Clinical Psychologist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| NEAL BENNER MCSHERRY | M.A. | 1508955436 |
| MATTHEW O'BYRNE | PH.D. | 1437425774 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.