MEDICARE: DR. R. ANTHONY SANDERS-PFEIFER PHD

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
1	103T00000X	Psychologist	PSY 21393	CA
2	106H00000X	Marriage & Family Therapist	MFC 35763	CA

General Provider Information

NPI Number	:	1346495108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. R. ANTHONY SANDERS-PFEIFER PHD

Provider Business Mailing Address
First Line	:	335 LONDON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2725
Country	:	US
Telephone Number	:	415-385-2363
Fax Number	:	415-587-8636

Provider Business Practice Location Address
First Line	:	335 LONDON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2725
Country	:	US
Telephone Number	:	415-385-2363
Fax Number	:	415-587-8636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/20/2008

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