Healthcare Provider Details

I. General information

NPI: 1750113189
Provider Name (Legal Business Name): FRANCES MCDONALD PRATTE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 DATE AVE APT 2
IMPERIAL BEACH CA
91932-1863
US

IV. Provider business mailing address

183 DATE AVE APT 2
IMPERIAL BEACH CA
91932-1863
US

V. Phone/Fax

Practice location:
  • Phone: 858-226-7158
  • Fax:
Mailing address:
  • Phone: 858-226-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberLMFT29885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: