MR. Samuel Robert Antram, MFT
NPI #1316165970 in Millbrae, California
Provider Information
- NPI Number
- 1316165970
- Entity Type
- Individual
- Name
- MR. Samuel Robert Antram, MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 510 BROADWAY
- Address 2
- SUITE 201
- City
- Millbrae
- State
- California
- ZIP Code
- 94030-1966
- Phone
- (650) 302-5020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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