Basic Information
| Provider Information | |||||||||
| NPI: | 1740472802 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOBO | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | ISABEL | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MFTI/PPSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3626 BALBOA ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941212604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156685955 | ||||||||
| FaxNumber: | 4156680246 | ||||||||
| Practice Location | |||||||||
| Address1: | 3626 BALBOA ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941212604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156685955 | ||||||||
| FaxNumber: | 4156680246 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2007 | ||||||||
| LastUpdateDate: | 08/13/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 101YS0200X | CA | N | Behavioral Health & Social Service Providers | Counselor | School |
No ID Information.