Provider Demographics
NPI:1871929760
Name:DOSHI, DARSHANA S (MACP / MFTI)
Entity type:Individual
Prefix:MRS
First Name:DARSHANA
Middle Name:S
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MACP / MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 N DIAMOND BAR BLVD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1007
Mailing Address - Country:US
Mailing Address - Phone:909-860-8110
Mailing Address - Fax:909-860-8120
Practice Address - Street 1:582 N DIAMOND BAR BLVD
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1007
Practice Address - Country:US
Practice Address - Phone:909-860-8110
Practice Address - Fax:909-860-8120
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 72434106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist