Provider Demographics
NPI:1205025871
Name:TENBRINK, ART S (MFT)
Entity Type:Individual
Prefix:
First Name:ART
Middle Name:S
Last Name:TENBRINK
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:ART
Other - Middle Name:STANLEY
Other - Last Name:TENBRINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:91 W NEAL ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7429
Mailing Address - Country:US
Mailing Address - Phone:925-846-1046
Mailing Address - Fax:925-462-2588
Practice Address - Street 1:91 W NEAL ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7429
Practice Address - Country:US
Practice Address - Phone:925-846-1046
Practice Address - Fax:925-462-2588
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist