Provider Demographics
NPI:1265916290
Name:APOSTLE, DEMETRY PARIS (PHD)
Entity type:Individual
Prefix:DR
First Name:DEMETRY
Middle Name:PARIS
Last Name:APOSTLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 YARROW LN
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-4926
Mailing Address - Country:US
Mailing Address - Phone:415-529-0281
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 357
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3030
Practice Address - Country:US
Practice Address - Phone:415-529-0281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30341103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist