Provider Demographics
NPI:1922247774
Name:FAUPL, THOMAS (MFT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:FAUPL
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2148 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1319
Mailing Address - Country:US
Mailing Address - Phone:415-702-7877
Mailing Address - Fax:
Practice Address - Street 1:2148 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1319
Practice Address - Country:US
Practice Address - Phone:415-702-7877
Practice Address - Fax:415-861-2303
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45819106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist