Provider Demographics
NPI:1528691862
Name:DELFIUGO, FRANK ANTHONY (MFT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ANTHONY
Last Name:DELFIUGO
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W OLIVE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-7604
Mailing Address - Country:US
Mailing Address - Phone:408-219-5377
Mailing Address - Fax:408-647-1252
Practice Address - Street 1:505 W OLIVE AVE STE 310
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-7604
Practice Address - Country:US
Practice Address - Phone:408-219-5377
Practice Address - Fax:408-647-1252
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30708106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist