Provider Demographics
NPI:1598094625
Name:EVERSLEY, RANI BEATRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RANI
Middle Name:BEATRICE
Last Name:EVERSLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 MAYNARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1640
Mailing Address - Country:US
Mailing Address - Phone:415-239-5803
Mailing Address - Fax:415-476-6552
Practice Address - Street 1:385 MAYNARD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-1640
Practice Address - Country:US
Practice Address - Phone:415-239-5803
Practice Address - Fax:415-476-6552
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-20
Last Update Date:2009-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMP17795106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist