MEDICARE: DR. REBECCA POPLAWSKI PSYD

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	PSY34552	CA

General Provider Information

NPI Number	:	1346898970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA POPLAWSKI PSYD

Provider Business Mailing Address
First Line	:	912 COLE ST # 368
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-4316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2095 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3009
Country	:	US
Telephone Number	:	415-843-1523
Fax Number	:

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

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	02/16/2024

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