Provider Demographics
NPI:1326448564
Name:RICHARDS, WHITNEY (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 GELLERT BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2619
Mailing Address - Country:US
Mailing Address - Phone:415-851-5125
Mailing Address - Fax:
Practice Address - Street 1:355 GELLERT BLVD STE 280
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2619
Practice Address - Country:US
Practice Address - Phone:415-851-5125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist