Provider Demographics
NPI:1023674249
Name:DALLMANN, STEVEN ALAN (LMFT, PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
Last Name:DALLMANN
Suffix:
Gender:M
Credentials:LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790507
Mailing Address - Street 2:
Mailing Address - City:PAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96779-0507
Mailing Address - Country:US
Mailing Address - Phone:415-606-6646
Mailing Address - Fax:
Practice Address - Street 1:1227A FOLSOM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3816
Practice Address - Country:US
Practice Address - Phone:415-606-6646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-535106H00000X
CAMFC51178106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist