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NPI Code Detail

MEDICARE: TERRA HARDIN

MEDICARE:   TERRA  HARDIN
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
1106H00000XMarriage & Family Therapist119551CA

General Provider Information

NPI Number : 1659816965
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRA HARDIN
Provider Business Mailing Address
First Line : 1563 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2543
Country : US
Telephone Number : 415-762-3700
Fax Number : 415-865-0119
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 125B
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2456
Country : US
Telephone Number : 510-777-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2016
Last Update Date : 04/13/2021

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Directions to “ TERRA HARDIN ” Practice Location

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