Destefano, Ron
Destefano, Ron is an sole proprietor health care provider with primary practice located at 342 Laverne Ave , Mill Valley CA 94941-3434. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Destefano, Ron can be contacted via phone (415) 383-3489.Contact Information
Primary practice address
342 Laverne Ave
Mill Valley CA 94941-3434
Phone: (415) 383-3489
Fax: (415) 383-3489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY7013 | California |
Profile Details
| NPI number | 1417173519 |
|---|---|
| LBN Legal business name | Destefano, Ron |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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