MEDICARE: SUSAN MARGARET HOWE

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	IMF 49383	CA

General Provider Information

NPI Number	:	1588737233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MARGARET HOWE

Provider Business Mailing Address
First Line	:	331 20TH AVE # 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	957 INDUSTRIAL RD
Second Line	:	SUITE B
City	:	SAN CARLOS
State	:	CA
Zip	:	94070-4151
Country	:	US
Telephone Number	:	415-375-7620
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/08/2007

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