MEDICARE: MS. BARBARA J DEVANEY MFT

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	106H00000X	Marriage & Family Therapist	MFC43190	CA

General Provider Information

NPI Number	:	1568526861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA J DEVANEY MFT

Provider Business Mailing Address
First Line	:	3637 SACRAMENTO ST
Second Line	:	SUITE G
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1723
Country	:	US
Telephone Number	:	415-267-1831
Fax Number	:	415-333-8305

Provider Business Practice Location Address
First Line	:	3637 SACRAMENTO ST
Second Line	:	SUITE G
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1723
Country	:	US
Telephone Number	:	415-267-1831
Fax Number	:	415-333-8305

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	10/05/2013

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