Provider Demographics
NPI:1982812913
Name:EHRENSAFT, ESTHER TAIWO (PHD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:TAIWO
Last Name:EHRENSAFT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3236 SACRAMENTO ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2007
Mailing Address - Country:US
Mailing Address - Phone:415-749-1060
Mailing Address - Fax:
Practice Address - Street 1:3236 SACRAMENTO ST STE 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2007
Practice Address - Country:US
Practice Address - Phone:415-749-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19615103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical