Healthcare Provider Details

I. General information

NPI: 1174648661
Provider Name (Legal Business Name): JOANNE F. DOBRZYNSKI MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 S BASCOM AVE
SAN JOSE CA
95128
US

IV. Provider business mailing address

828 S BASCOM AVE
SAN JOSE CA
95128-2651
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-7839
  • Fax: 408-885-5788
Mailing address:
  • Phone: 408-885-7839
  • Fax: 408-971-2651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number36960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: