Provider Demographics
NPI:1548539166
Name:ONDI, LIVIA (LMFT)
Entity type:Individual
Prefix:
First Name:LIVIA
Middle Name:
Last Name:ONDI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LIVIA
Other - Middle Name:
Other - Last Name:ONDI-PANCHOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:672 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-4008
Mailing Address - Country:US
Mailing Address - Phone:415-841-2868
Mailing Address - Fax:
Practice Address - Street 1:672 2ND AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-4008
Practice Address - Country:US
Practice Address - Phone:415-841-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA998055106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist