Heftsi Assaf, PSY.D., MFT

Individual provider Active NPI Marriage & Family Therapist · San Pablo, CA

NPI 1104953538 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1104953538
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC40062 (CA)
Practice address
13201 San Pablo Ave Ste 316
San Pablo, CA 94806-3965
Phone
(510) 869-5009
Fax
(510) 237-2961
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC40062CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC40062 CA Yes

Addresses

Primary practice location

13201 San Pablo Ave Ste 316
San Pablo, CA 94806-3965

Mailing address

13201 San Pablo Ave # 316
San Pablo, CA 94806-3952
Phone (510) 869-5009

Other practice location 1

2305 Ashby Ave
Berkeley, CA 94705-1909
Phone (510) 869-5009

Other providers in San Pablo, CA

All providers in San Pablo, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.