Provider Demographics
NPI:1225241623
Name:DINSMORE, DEBORAH RENEE (MFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RENEE
Last Name:DINSMORE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:DEBBIE
Other - Middle Name:RENEE
Other - Last Name:DINSMORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:826 SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:858-361-8846
Mailing Address - Fax:760-942-9862
Practice Address - Street 1:826 SECOND STREET
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:858-361-8846
Practice Address - Fax:760-942-9862
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist