| Doctor Name: | DR. JOHN DAVID RICHARD |
| NPI Number: | 1043387640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 19129 |
| Business Practice Address: | 1860 El Camino Real Ste 310 Burlingame, CA - 940103114 |
| Business Phone Number: | 9255505046 |
| Business Fax Number: | |
| Mailing Address: | 1860 El Camino Real Ste 310, BURLINGAME |
| State: | CA |
| Postal Code: | 940103114 |
| Phone Number: | 9255505046 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 19129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |