| Doctor Name: | MS. MARY ANN OFFENHEISER |
| NPI Number: | 1053406025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | 2458 |
| Business Practice Address: | 33971 Selva Rd Suite 125 Dana Point, CA - 926293788 |
| Business Phone Number: | 9493749245 |
| Business Fax Number: | 9497512432 |
| Mailing Address: | 28601 Placida Ave, LAGUNA NIGUEL |
| State: | CA |
| Postal Code: | 926771428 |
| Phone Number: | 9493749245 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 11/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 2458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |