MEDICARE: MR. ALAN D RICHARDS LMFT

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	48248	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699954651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN D RICHARDS LMFT

Provider Business Mailing Address
First Line	:	2083 CARDINAL DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-3702
Country	:	US
Telephone Number	:	858-692-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	2667 CAMINO DEL RIO S
Second Line	:	SUITE 105-6
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3707
Country	:	US
Telephone Number	:	858-692-0018
Fax Number	:

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

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	04/05/2017

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