Individual
DEAN BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Contact information
Practice address
1201 FILLMORE ST, SAN FRANCISCO, CA 94115-4110
(415) 833-9400
Mailing address
1201 FILLMORE ST, SAN FRANCISCO, CA 94115-4110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 24738
CA
106H00000X
Marriage & Family Therapist
MFC 25340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A384189
CERT.ALC&DRUG CNSLR.
CA
01
—
MFC 25340
LIC.MARRIAGE&FAMILY THER.
CA
01
—
PSY 24738
PSYCHOLOGIST
CA
Enumeration date
11/29/2006
Last updated
12/30/2021
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