Provider Demographics
NPI:1184816670
Name:MILSTEIN, PRABHA B (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PRABHA
Middle Name:B
Last Name:MILSTEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 MYRA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1716
Mailing Address - Country:US
Mailing Address - Phone:415-200-8093
Mailing Address - Fax:
Practice Address - Street 1:4112 24TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3615
Practice Address - Country:US
Practice Address - Phone:415-200-8093
Practice Address - Fax:415-586-2611
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist