=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144408402
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNIE C SHUI MS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/08/2008
-----------------------------------------------------
Last Update Date | 02/11/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 375 LAGUNA HONDA BLVD C4
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94116-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-759-2168
-----------------------------------------------------
Fax | 415-759-2177
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 375 LAGUNA HONDA BLVD C4
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94116-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-759-2168
-----------------------------------------------------
Fax | 415-759-2177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 56041
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 51408
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------