Provider Demographics
NPI:1326242751
Name:DIDONATO, DENNIS (MFT)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:DIDONATO
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:DINO
Other - Middle Name:
Other - Last Name:DI DONATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:1231 MARKET ST # 810
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1400
Mailing Address - Country:US
Mailing Address - Phone:415-431-3466
Mailing Address - Fax:
Practice Address - Street 1:1231 MARKET ST # 810
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1400
Practice Address - Country:US
Practice Address - Phone:415-431-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT39831106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist