Provider Demographics
NPI:1508103201
Name:OSTREM, FRANCINE MARIA (PHD, MFT)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:MARIA
Last Name:OSTREM
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 VISTAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708-1226
Mailing Address - Country:US
Mailing Address - Phone:510-524-5863
Mailing Address - Fax:
Practice Address - Street 1:2703 SEVENTH ST
Practice Address - Street 2:#334
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2659
Practice Address - Country:US
Practice Address - Phone:510-527-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39216106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist