Provider Demographics
NPI:1982047882
Name:FRENCH, AIMIE ELAINE
Entity Type:Individual
Prefix:
First Name:AIMIE
Middle Name:ELAINE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AIMIE
Other - Middle Name:ELAINE
Other - Last Name:JORY-HILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2718 SIMAS AVE
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-1129
Mailing Address - Country:US
Mailing Address - Phone:510-717-1525
Mailing Address - Fax:
Practice Address - Street 1:2718 SIMAS AVE
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-1129
Practice Address - Country:US
Practice Address - Phone:510-717-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113021106H00000X
CA1-16-22307103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst