Provider Demographics
NPI:1144338583
Name:DESCHLER, MAUREEN ANGELA (MFT)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ANGELA
Last Name:DESCHLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12701 SKYLINE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-3124
Mailing Address - Country:US
Mailing Address - Phone:510-530-7811
Mailing Address - Fax:510-530-7811
Practice Address - Street 1:20212 REDWOOD ROAD
Practice Address - Street 2:#202
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4375
Practice Address - Country:US
Practice Address - Phone:510-530-7811
Practice Address - Fax:510-530-7811
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT29495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist