Provider Demographics
NPI:1083887046
Name:WEINSTEIN, DEBORAH N (MFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:N
Last Name:WEINSTEIN
Suffix:
Gender:F
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:P.O. BOX 2435
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92593-2435
Mailing Address - Country:US
Mailing Address - Phone:951-676-4393
Mailing Address - Fax:951-694-0553
Practice Address - Street 1:27450 YNEZ RD
Practice Address - Street 2:STE 210
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590
Practice Address - Country:US
Practice Address - Phone:951-676-4393
Practice Address - Fax:951-694-0553
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44418106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist