MEDICARE: THOMAS FAUPL 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	MFC 45819	CA

General Provider Information

NPI Number	:	1922247774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS FAUPL MFT

Provider Business Mailing Address
First Line	:	2148 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1319
Country	:	US
Telephone Number	:	415-702-7877
Fax Number	:

Provider Business Practice Location Address
First Line	:	2148 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1319
Country	:	US
Telephone Number	:	415-702-7877
Fax Number	:	415-861-2303

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

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	02/04/2017

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Directions to “ THOMAS FAUPL MFT” Practice Location

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