Provider Demographics
NPI:1285796219
Name:KING, NATASHA (BS)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1423
Mailing Address - Country:US
Mailing Address - Phone:415-518-2248
Mailing Address - Fax:
Practice Address - Street 1:2427 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1423
Practice Address - Country:US
Practice Address - Phone:415-518-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist