Provider Demographics
NPI:1821155474
Name:SHORENSTEIN, ANNA IRENE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:IRENE
Last Name:SHORENSTEIN
Suffix:
Gender:F
Credentials:PSYD
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 6302
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94524-1302
Mailing Address - Country:US
Mailing Address - Phone:831-566-6327
Mailing Address - Fax:
Practice Address - Street 1:39 QUAIL CT
Practice Address - Street 2:SUITE 205
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5566
Practice Address - Country:US
Practice Address - Phone:925-271-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22405103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical