Sudi Place Scull, MA
Individual provider Active NPI Marriage & Family Therapist · SF, CA
NPI 1366540965 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366540965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT36910 (CA)
- Practice address
- 2166 Hayes St
# 308
SF, CA 94117 - Phone
- (415) 282-8185
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT36910 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT36910 | CA | Yes |
Addresses
Primary practice location
2166 Hayes St
# 308
SF, CA 94117
Mailing address
78 Peralta St
San Francisco, CA 94110
Phone (415) 282-8185
Other names
- Suzanne Place Scull
Other providers in SF, CA
- Pheasant Street Grove Home
- Noreen Quimson
- Red Hawk Physical Therapy
- Red Hawk Physical Therapy
- Ruben Ruiz Jr.
- Elliot Wollner
All providers in SF, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.