Amy Shull MFT

NPI 1124244751 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1124244751
Gender Female
Enumeration Date 04/18/2007
Last Updated 07/07/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
216 VICTORIA RD
BURLINGAME CA, 94010-2846, US
Phone (650) 504-0539
Fax
Business Location
216 VICTORIA RD
BURLINGAME CA, 94010-2846, US
Phone (650) 504-0539
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 44176
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According to our database, Amy Shull MFT NPI is 1124244751, taxonomy code is 106H00000X and license number is MFC 44176, license state is located at California. Amy Shull MFT physically located at 216 Victoria Rd, Burlingame CA, 94010-2846. NPI Number Amy Shull MFT has the Individual type.

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1124244751 NPI number is provided on an as is basis without warranty of any kind. 1124244751 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Shull MFT are for informational purposes only.