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NPI Code Detail

MEDICARE: HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC

MEDICARE: HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC
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
1101YP2500XProfessional Counselor
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1013504810
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC
Provider Business Mailing Address
First Line : 3702 SACRAMENTO ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1740
Country : US
Telephone Number : 415-702-0277
Fax Number :
Provider Business Practice Location Address
First Line : 3702 SACRAMENTO ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1740
Country : US
Telephone Number : 415-702-0277
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : ELLEN DELACEY HATHAWAY
Credential : LMFT
Telephone Number : 415-702-0277
Provider Enumeration Date : 12/28/2020
Last Update Date : 05/13/2024

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Directions to “HEADLANDS PSYCHOTHERAPY GROUP: HOWSON & HATHAWAY FAMILY THERAPIST PC ” Practice Location

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