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NPI Code Detail

MEDICARE: ALAN WEINERMAN

MEDICARE: ALAN WEINERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1417163932
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN WEINERMAN
Provider Business Mailing Address
First Line : 2441 JACKSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1324
Country : US
Telephone Number : 415-346-6380
Fax Number : 415-346-1058
Provider Business Practice Location Address
First Line : 2441 JACKSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1324
Country : US
Telephone Number : 415-346-6380
Fax Number : 415-346-1058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/08/2007

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Directions to “ ALAN WEINERMAN ” Practice Location

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