Provider Demographics
NPI:1073763066
Name:SAFREN, DEBRA J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:J
Last Name:SAFREN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 3RD ST BLDG B
Mailing Address - Street 2:STE. 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1409
Mailing Address - Country:US
Mailing Address - Phone:415-401-4316
Mailing Address - Fax:415-970-3813
Practice Address - Street 1:3801 3RD ST BLDG B
Practice Address - Street 2:STE. 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1409
Practice Address - Country:US
Practice Address - Phone:415-401-4316
Practice Address - Fax:415-970-3813
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22063103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist