Provider Demographics
NPI:1902129083
Name:ALBUQUERQUE, ANNA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:ALBUQUERQUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSF CITY WIDE
Mailing Address - Street 2:982 MISSION ST
Mailing Address - City:SANFRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103
Mailing Address - Country:US
Mailing Address - Phone:415-597-8080
Mailing Address - Fax:
Practice Address - Street 1:UCSF CITY WIDE
Practice Address - Street 2:982 MISSION ST
Practice Address - City:SANFRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-9410
Practice Address - Country:US
Practice Address - Phone:415-597-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X
CA129846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator