Healthcare Provider Details

I. General information

NPI: 1710024591
Provider Name (Legal Business Name): DONN PAUL HOHENGARTEN MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 CABEZUT RD
SONORA CA
95370
US

IV. Provider business mailing address

197 MONO WAY
SONORA CA
95370-5163
US

V. Phone/Fax

Practice location:
  • Phone: 209-533-3553
  • Fax:
Mailing address:
  • Phone: 209-533-3553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT 19817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: