Provider Demographics
NPI:1467882720
Name:MERA, TANYA
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:MERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:WEISHEIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1536
Mailing Address - Country:US
Mailing Address - Phone:415-575-4332
Mailing Address - Fax:415-734-3216
Practice Address - Street 1:650 5TH ST STE 309
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1542
Practice Address - Country:US
Practice Address - Phone:415-995-1713
Practice Address - Fax:415-348-8604
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical