Provider Demographics
NPI:1043416274
Name:TEMPLEMAN, DONA (MFT)
Entity Type:Individual
Prefix:
First Name:DONA
Middle Name:
Last Name:TEMPLEMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CLEMENT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2419
Mailing Address - Country:US
Mailing Address - Phone:415-255-3271
Mailing Address - Fax:415-751-2058
Practice Address - Street 1:121 CLEMENT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2419
Practice Address - Country:US
Practice Address - Phone:415-255-3271
Practice Address - Fax:415-751-2058
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist