Provider Demographics
NPI:1477866085
Name:BEIRNE, PAUL VINCENT (LPCC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:VINCENT
Last Name:BEIRNE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3098 CALIFORNIA ST
Mailing Address - Street 2:# 26
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2469
Mailing Address - Country:US
Mailing Address - Phone:415-847-5826
Mailing Address - Fax:
Practice Address - Street 1:3098 CALIFORNIA ST
Practice Address - Street 2:# 26
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2469
Practice Address - Country:US
Practice Address - Phone:415-847-5826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-24
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC 412101YM0800X, 101YP2500X
FLMH 10629101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional