Provider Demographics
NPI:1720138670
Name:ESPINOZA, DOLORES VERDIN
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:VERDIN
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LOLA
Other - Middle Name:
Other - Last Name:ESPINOZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1236 YAJOME ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2600
Mailing Address - Country:US
Mailing Address - Phone:707-253-4963
Mailing Address - Fax:707-253-4107
Practice Address - Street 1:1500 3RD ST STE 1B
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2865
Practice Address - Country:US
Practice Address - Phone:707-253-4963
Practice Address - Fax:707-253-4107
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health