Provider Demographics
NPI:1275087710
Name:TALMUS, EVALYN I (MS, MFT)
Entity Type:Individual
Prefix:MS
First Name:EVALYN
Middle Name:
Last Name:TALMUS
Suffix:I
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SUTTER ST
Mailing Address - Street 2:SUITE 509
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4002
Mailing Address - Country:US
Mailing Address - Phone:415-249-0999
Mailing Address - Fax:
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:SUITE 509
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:415-249-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-13
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT36004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist