Provider Demographics
NPI:1043254691
Name:HALPERN, RONA HILDY (PH D)
Entity Type:Individual
Prefix:
First Name:RONA
Middle Name:HILDY
Last Name:HALPERN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 LIGHTHOUSE AVE
Mailing Address - Street 2:THE BRATTY BUILDING, SUITE C
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-2696
Mailing Address - Country:US
Mailing Address - Phone:831-372-2366
Mailing Address - Fax:831-372-1884
Practice Address - Street 1:572 LIGHTHOUSE AVE
Practice Address - Street 2:SUITE C THE BRATTY BUILDING
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-2696
Practice Address - Country:US
Practice Address - Phone:831-372-2366
Practice Address - Fax:831-372-1884
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF16882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist