Healthcare Provider Details

I. General information

NPI: 1386817724
Provider Name (Legal Business Name): DELLA S CALDWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 HOWARD ST
SAN FRANCISCO CA
94103-4183
US

IV. Provider business mailing address

988 HOWARD STREET
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 415-975-0908
  • Fax: 415-975-9932
Mailing address:
  • Phone: 415-975-0908
  • Fax: 415-975-9932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: