Basic Information
| Provider Information | |||||||||
| NPI: | 1083117345 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KROHNER | ||||||||
| FirstName: | ESTHER | ||||||||
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| Credential: | M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 555 MIDDLEFIELD RD | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943012124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487974504 | ||||||||
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| Practice Location | |||||||||
| Address1: | 111 MYRTLE ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946072535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5109229757 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2018 | ||||||||
| LastUpdateDate: | 03/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 105104 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | 105104 | 01 | CA | BOARD OF BEHAVIORAL SCIENCES | OTHER |