Provider Demographics
NPI:1386828671
Name:PESTALOZZI, ANN ELIZABETH (MSWMFT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:PESTALOZZI
Suffix:
Gender:F
Credentials:MSWMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2333
Mailing Address - Street 2:
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-2333
Mailing Address - Country:US
Mailing Address - Phone:209-728-8932
Mailing Address - Fax:209-728-8932
Practice Address - Street 1:848 SHEEP RANCH RD
Practice Address - Street 2:
Practice Address - City:MURPHYS
Practice Address - State:CA
Practice Address - Zip Code:95247-2333
Practice Address - Country:US
Practice Address - Phone:209-728-8932
Practice Address - Fax:209-728-8932
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist