Healthcare Provider Details

I. General information

NPI: 1053194308
Provider Name (Legal Business Name): TULLIA DONG-WEI YU AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FRANKLIN ST
SAN FRANCISCO CA
94109-4523
US

IV. Provider business mailing address

6221 GEARY BLVD FL 2
SAN FRANCISCO CA
94121-1834
US

V. Phone/Fax

Practice location:
  • Phone: 415-474-7310
  • Fax: 415-447-9805
Mailing address:
  • Phone: 415-386-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147931
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: