Provider Demographics
NPI:1801906649
Name:BOHAN, DENNIS PATRICK (MFT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:PATRICK
Last Name:BOHAN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 SERRANO DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-2237
Mailing Address - Country:US
Mailing Address - Phone:415-841-1238
Mailing Address - Fax:415-834-9249
Practice Address - Street 1:944 MARKET ST
Practice Address - Street 2:501
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4000
Practice Address - Country:US
Practice Address - Phone:415-834-9280
Practice Address - Fax:415-834-9249
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC12115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist