Provider Demographics
NPI:1487923546
Name:HEALEY, ESTHER (LM, CPM)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:HEALEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:HEALEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LM, CPM
Mailing Address - Street 1:4547 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-4740
Mailing Address - Country:US
Mailing Address - Phone:510-479-0905
Mailing Address - Fax:888-806-9078
Practice Address - Street 1:4547 SAN CARLOS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-4740
Practice Address - Country:US
Practice Address - Phone:510-479-0905
Practice Address - Fax:888-806-9078
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM313176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife