Provider Demographics
NPI:1306155536
Name:COMPAGNI PORTIS, NATALIE ANN (MFT, PSYD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANN
Last Name:COMPAGNI PORTIS
Suffix:
Gender:F
Credentials:MFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-8627
Mailing Address - Country:US
Mailing Address - Phone:510-517-1114
Mailing Address - Fax:510-531-1115
Practice Address - Street 1:1650 CASTLE RD
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-8627
Practice Address - Country:US
Practice Address - Phone:510-517-1114
Practice Address - Fax:510-531-1115
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT23584106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist