Basic Information
Provider Information
NPI: 1326389578
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMANZA
FirstName: BRI
MiddleName: ANNA
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: WEBB ALMANZA
OtherFirstName: BRIANNA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 1500 FRANKLIN ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941094523
CountryCode: US
TelephoneNumber: 4154747310
FaxNumber: 4159313773
Practice Location
Address1: 2712 MISSION ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941103104
CountryCode: US
TelephoneNumber: 4154012700
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/13/2013
LastUpdateDate: 09/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X  Y Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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