Provider Demographics
NPI:1457486037
Name:LARKIN, MARIAH (MA PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIAH
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MA PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 SANCHEZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3826
Mailing Address - Country:US
Mailing Address - Phone:415-826-7308
Mailing Address - Fax:
Practice Address - Street 1:1235 SANCHEZ ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3826
Practice Address - Country:US
Practice Address - Phone:415-826-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 27311103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling