Provider Demographics
NPI:1992901599
Name:BOLSHEVA, NATALIYA A (PHD CFC, FABFE)
Entity type:Individual
Prefix:PROF
First Name:NATALIYA
Middle Name:A
Last Name:BOLSHEVA
Suffix:
Gender:F
Credentials:PHD CFC, FABFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 GEARY BLVD. #4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2812
Mailing Address - Country:US
Mailing Address - Phone:415-759-8105
Mailing Address - Fax:415-759-8105
Practice Address - Street 1:3522 GEARY BLVD # 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2812
Practice Address - Country:US
Practice Address - Phone:415-759-8105
Practice Address - Fax:415-759-8105
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral