MEDICARE: KALIKMANLLOYD FAMILY THERAPY

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	LMFT49376	CA

General Provider Information

NPI Number	:	1689063463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KALIKMANLLOYD FAMILY THERAPY

Provider Business Mailing Address
First Line	:	2302 FILLMORE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1813
Country	:	US
Telephone Number	:	415-674-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	2302 FILLMORE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1813
Country	:	US
Telephone Number	:	415-674-1996
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KATHRYN LLOYD
Credential	:	LMFT
Telephone Number	:	415-674-1996

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

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