Provider Demographics
NPI:1457438228
Name:LEFFERTS, DEBORAH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:LEFFERTS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 PERALTA BLVD
Mailing Address - Street 2:SUITE #212
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536
Mailing Address - Country:US
Mailing Address - Phone:510-657-2987
Mailing Address - Fax:510-657-2987
Practice Address - Street 1:2450 PERALTA BLVD
Practice Address - Street 2:SUITE #212
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536
Practice Address - Country:US
Practice Address - Phone:510-657-2987
Practice Address - Fax:510-657-2987
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist