Provider Demographics
NPI:1144408402
Name:SHUI, ANNIE C (MS)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:C
Last Name:SHUI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 LAGUNA HONDA BLVD
Mailing Address - Street 2:C4
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1411
Mailing Address - Country:US
Mailing Address - Phone:415-759-2168
Mailing Address - Fax:415-759-2177
Practice Address - Street 1:375 LAGUNA HONDA BLVD
Practice Address - Street 2:C4
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1411
Practice Address - Country:US
Practice Address - Phone:415-759-2168
Practice Address - Fax:415-759-2177
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56041106H00000X
CA101YM0800X
CA51408106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health