DR. Ron Destefano, PH.D.
NPI #1417173519 in Mill Valley, California
Provider Information
- NPI Number
- 1417173519
- Entity Type
- Individual
- Name
- DR. Ron Destefano, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 342 LAVERNE AVE
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-3434
- Phone
- (415) 383-3489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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