Provider Demographics
NPI:1811009376
Name:RATH, THOMAS L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:RATH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:582 MARKET ST
Mailing Address - Street 2:SUITE 1011
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5301
Mailing Address - Country:US
Mailing Address - Phone:415-584-4811
Mailing Address - Fax:415-473-7162
Practice Address - Street 1:582 MARKET ST
Practice Address - Street 2:SUITE 1011
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5301
Practice Address - Country:US
Practice Address - Phone:415-584-4811
Practice Address - Fax:415-473-7162
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23420103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical