Andrade, Miriam Medlin

Andrade, Miriam Medlin is an sole proprietor health care provider with primary practice located at 1421 Broderick St , San Francisco CA 94115-3304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Andrade, Miriam Medlin can be contacted via phone (415) 292-1760.

Contact Information

Primary practice address
1421 Broderick St San Francisco CA 94115-3304
Phone: (415) 292-1760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X RPS2006016 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY23089 California

Profile Details

NPI number 1073684684
LBN Legal business name Andrade, Miriam Medlin
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated May 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073684684 NPPES
California Other 9555 SF CLINICIAN BILLING ID

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