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NPI Code Detail

MEDICARE: ANASTASSIA A. PUTILINA-NAYLOR LMFT #103042

MEDICARE: ANASTASSIA A. PUTILINA-NAYLOR LMFT #103042
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
1106H00000XMarriage & Family TherapistMFTI #IMF 82899CA

General Provider Information

NPI Number : 1669808069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASSIA A. PUTILINA-NAYLOR LMFT #103042
Provider Business Mailing Address
First Line : 2681 28TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2912
Country : US
Telephone Number : 415-682-3205
Fax Number :
Provider Business Practice Location Address
First Line : 2681 28TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2912
Country : US
Telephone Number : 415-681-3211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2013
Last Update Date : 06/07/2022

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Directions to “ ANASTASSIA A. PUTILINA-NAYLOR LMFT #103042” Practice Location

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