Edelman, Ellen

Edelman, Ellen is an sole proprietor health care provider with primary practice located at 1475 Huntington Ave 201, South San Francisco CA 94080-5990. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Edelman, Ellen can be contacted via phone (650) 994-7464.

Contact Information

Primary practice address
1475 Huntington Ave 201 South San Francisco CA 94080-5990
Phone: (650) 994-7464
Fax: (650) 994-7464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT12175 California

Profile Details

NPI number 1689720401
LBN Legal business name Edelman, Ellen
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 9th, 2007 - about 17 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 1689720401 NPPES
California MEDICAID 80584

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