Blumberg, Dean
Blumberg, Dean is an individual health care provider with primary practice located at 1201 Fillmore St , San Francisco CA 94115-4110. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Blumberg, Dean can be contacted via phone (415) 833-9400.Contact Information
Primary practice address
1201 Fillmore St
San Francisco CA 94115-4110
Phone: (415) 833-9400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 25340 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 24738 | California |
Profile Details
NPI number | 1447327739 |
---|---|
LBN Legal business name | Blumberg, Dean |
Credentials | PHD, LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | Dec 30th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447327739 | NPPES |
California | Other | A384189 | CERT.ALC&DRUG CNSLR. |
California | Other | MFC 25340 | CERT.ALC&DRUG CNSLR. |
California | Other | PSY 24738 | CERT.ALC&DRUG CNSLR. |
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