MEDICARE: MRS. ERICA ANNE POSNER 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	MFC30565	CA

General Provider Information

NPI Number	:	1891713970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA ANNE POSNER MFT

Provider Business Mailing Address
First Line	:	338 MELROSE AVE
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-3461
Country	:	US
Telephone Number	:	415-381-8541
Fax Number	:	415-381-8541

Provider Business Practice Location Address
First Line	:	21 TAMAL VISTA BLVD
Second Line	:	SUITE 240
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1130
Country	:	US
Telephone Number	:	415-381-8561
Fax Number	:	415-381-8561

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

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

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