Provider Demographics
NPI:1932647567
Name:NEUHARTH, DAN II (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:NEUHARTH
Suffix:II
Gender:M
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S ELISEO DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2152
Mailing Address - Country:US
Mailing Address - Phone:415-925-9110
Mailing Address - Fax:
Practice Address - Street 1:900 S ELISEO DR STE 101
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2152
Practice Address - Country:US
Practice Address - Phone:415-925-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT29178106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist