Provider Demographics
NPI:1336328707
Name:VOSBURG, DANIELLE MONET
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MONET
Last Name:VOSBURG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-1806
Mailing Address - Country:US
Mailing Address - Phone:650-367-6988
Mailing Address - Fax:
Practice Address - Street 1:624 9TH AVE
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1806
Practice Address - Country:US
Practice Address - Phone:650-367-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health