Provider Demographics
NPI:1699088690
Name:ABRONS, DEIDRE ELIZABETH (INTERN)
Entity type:Individual
Prefix:
First Name:DEIDRE
Middle Name:ELIZABETH
Last Name:ABRONS
Suffix:
Gender:F
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 VALENCIA ST
Mailing Address - Street 2:STE. 222
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3547
Mailing Address - Country:US
Mailing Address - Phone:415-864-2364
Mailing Address - Fax:415-864-0116
Practice Address - Street 1:333 VALENCIA ST
Practice Address - Street 2:STE. 222
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3547
Practice Address - Country:US
Practice Address - Phone:415-864-2364
Practice Address - Fax:415-864-0116
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist