Provider Demographics
NPI:1831641208
Name:SEGAL, DEVA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEVA
Middle Name:
Last Name:SEGAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 1909
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5320
Mailing Address - Country:US
Mailing Address - Phone:415-496-6660
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1909
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5320
Practice Address - Country:US
Practice Address - Phone:415-496-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTLC825MFTOtherBOARD OF EXAMINERS FOR LICENSURE OF MARRIAGE & FAMILY THERAPISTS
MEMF7207OtherBOARD OF COUNSELING PROFESSIONALS LICENSURE
CA103816OtherBOARD OF BEHAVIORAL SCIENCES