Provider Demographics
NPI:1265571699
Name:DELLEFIELD, PASCALE TURQUIEH (MFT)
Entity type:Individual
Prefix:MRS
First Name:PASCALE
Middle Name:TURQUIEH
Last Name:DELLEFIELD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:PASCALE
Other - Middle Name:TURQUIEH
Other - Last Name:AZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:4622 CLAIREMONT DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2701
Mailing Address - Country:US
Mailing Address - Phone:619-368-9704
Mailing Address - Fax:
Practice Address - Street 1:4622 CLAIREMONT DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-2701
Practice Address - Country:US
Practice Address - Phone:619-368-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43638106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist