Provider Demographics
NPI:1447800842
Name:POSECION, LAINIE FALCO
Entity type:Individual
Prefix:
First Name:LAINIE
Middle Name:FALCO
Last Name:POSECION
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 1:237 KEARNY ST # 171
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4502
Mailing Address - Country:US
Mailing Address - Phone:917-733-5359
Mailing Address - Fax:
Practice Address - Street 1:2928 TELEGRAPH AVE APT 4
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3528
Practice Address - Country:US
Practice Address - Phone:917-733-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39697103G00000X
CA30697103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist