Provider Demographics
NPI:1437567393
Name:DAVID TALAMO, MFT
Entity Type:Organization
Organization Name:DAVID TALAMO, MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TALAMO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-339-7405
Mailing Address - Street 1:705 4TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3233
Mailing Address - Country:US
Mailing Address - Phone:415-339-7405
Mailing Address - Fax:
Practice Address - Street 1:705 4TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3233
Practice Address - Country:US
Practice Address - Phone:415-339-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty