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Search › California › 103K00000X

Theresa Provenzano

NPI 1568989416 · on the registry since 2017

Practice

Address
1200 Concord Ave Ste 185
Concord, CA 94520
Phone
(510) 268-8120
Organisation at this address
Londyon Cummings
Youth Homes, Inc.
Csd Expansion, Llc
Center Of Social Dynamics
Center For Social Dynamics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5,427

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106E00000X
106S00000X
Sex
Female
Record last updated
2026-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California