Provider Demographics
NPI:1144716044
Name:BARULIC, ELAINA
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:
Last Name:BARULIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 GOUGH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3418
Mailing Address - Country:US
Mailing Address - Phone:415-435-7532
Mailing Address - Fax:
Practice Address - Street 1:2040 GOUGH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-771-8055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2019-02-27
Deactivation Date:2019-01-11
Deactivation Code:
Reactivation Date:2019-02-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist