MEDICARE: DR. ADRIANA ALBANO PSY.D.

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1558688564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIANA ALBANO PSY.D.

Provider Business Mailing Address
First Line	:	501 OCTAVIA ST
Second Line	:	APT 10
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4349
Country	:	US
Telephone Number	:	415-789-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 FRANKLIN ST STE 320
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-6047
Country	:	US
Telephone Number	:	415-789-8309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	10/17/2014

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