Provider Demographics
NPI:1598534158
Name:HATHAWAY, JOANNA SILBER (MPH, AMFT)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:SILBER
Last Name:HATHAWAY
Suffix:
Gender:F
Credentials:MPH, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 SACRAMENTO ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1740
Mailing Address - Country:US
Mailing Address - Phone:415-702-0877
Mailing Address - Fax:
Practice Address - Street 1:3702 SACRAMENTO ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1740
Practice Address - Country:US
Practice Address - Phone:415-702-0877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT140999106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist