Provider Demographics
NPI:1760099832
Name:HARTMAN-FILSON, MARLENA SARA
Entity Type:Individual
Prefix:
First Name:MARLENA
Middle Name:SARA
Last Name:HARTMAN-FILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 38TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2778
Mailing Address - Country:US
Mailing Address - Phone:415-572-2995
Mailing Address - Fax:
Practice Address - Street 1:422 38TH ST APT A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2778
Practice Address - Country:US
Practice Address - Phone:415-572-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor