Provider Demographics
NPI:1992904064
Name:DEMOSTHENOUS, MARIA CLAIRE (DO)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CLAIRE
Last Name:DEMOSTHENOUS
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:2081 ARENA BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2309
Mailing Address - Country:US
Mailing Address - Phone:916-285-8977
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1001 BAYHILL DR
Practice Address - Street 2:270
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3062
Practice Address - Country:US
Practice Address - Phone:650-552-9652
Practice Address - Fax:650-552-9348
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2009-02-10
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Provider Licenses
StateLicense IDTaxonomies
CA20A104892084P0800X
IL0361187862084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry