Provider Demographics
NPI:1578636569
Name:HONIGSTEIN, DVORA (PHD, MFT)
Entity Type:Individual
Prefix:MS
First Name:DVORA
Middle Name:
Last Name:HONIGSTEIN
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 1:1443 CHURCH ST.
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2308
Mailing Address - Country:US
Mailing Address - Phone:415-641-0143
Mailing Address - Fax:415-285-9953
Practice Address - Street 1:1443 CHURCH ST.
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2308
Practice Address - Country:US
Practice Address - Phone:415-641-0143
Practice Address - Fax:415-285-9953
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT011772106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist