Provider Demographics
NPI:1740307925
Name:MARRON, ESTHER (PSYD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MARRON
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 1:28494 WESTINGHOUSE PL STE 314
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-0936
Mailing Address - Country:US
Mailing Address - Phone:310-808-5642
Mailing Address - Fax:877-285-2085
Practice Address - Street 1:28494 WESTINGHOUSE PL STE 314
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0936
Practice Address - Country:US
Practice Address - Phone:310-808-5642
Practice Address - Fax:877-285-2085
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TCO700X103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical