Provider Demographics
NPI:1295026904
Name:SPIGA, PATRIZIA I (MFT)
Entity Type:Individual
Prefix:MS
First Name:PATRIZIA
Middle Name:I
Last Name:SPIGA
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 1:3990 OLD TOWN AVE
Mailing Address - Street 2:SUITE A207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2930
Mailing Address - Country:US
Mailing Address - Phone:619-255-0042
Mailing Address - Fax:619-255-0042
Practice Address - Street 1:3990 OLD TOWN AVE
Practice Address - Street 2:SUITE A207
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2930
Practice Address - Country:US
Practice Address - Phone:619-255-0042
Practice Address - Fax:619-255-0042
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48465106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist