Provider Demographics
NPI:1528611308
Name:MURATORE, ANNE (RADT)
Entity type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:
Last Name:MURATORE
Suffix:
Gender:F
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369B 3RD ST # 520
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3581
Mailing Address - Country:US
Mailing Address - Phone:415-991-9056
Mailing Address - Fax:
Practice Address - Street 1:39 MARY ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3451
Practice Address - Country:US
Practice Address - Phone:415-991-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1349770619101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor