=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619194958
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARY DAKIN INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2007
-----------------------------------------------------
Last Update Date | 10/17/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1777 UNION ST
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94123-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-346-0788
-----------------------------------------------------
Fax | 415-520-5289
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1777 UNION ST
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94123-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-346-0788
-----------------------------------------------------
Fax | 415-520-5289
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CARY ELIZABETH DAKIN
-----------------------------------------------------
Credential | M.F.T.
-----------------------------------------------------
Telephone | 415-346-0788
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MFT 34856
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------