Tracey Y Chan, | |
2000 Alameda De Las Pulgas, Suite 200, San Mateo, CA 94403-1269 | |
(650) 372-8516 | |
Not Available |
Full Name | Tracey Y Chan |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2000 Alameda De Las Pulgas, San Mateo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508144676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 98255 (California) | Primary |
Entity Name | Silver Lake Psychology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932651817 PECOS PAC ID: 7012250582 Enrollment ID: O20190524000695 |
Mailing Address | Practice Location Address |
---|---|
Tracey Y Chan, 1950 Alameda De Las Pulgas Ste 157, San Mateo, CA 94403-1222 Ph: (650) 573-2331 | Tracey Y Chan, 2000 Alameda De Las Pulgas, Suite 200, San Mateo, CA 94403-1269 Ph: (650) 372-8516 |
Elena Sharon Levin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8569 Fax: 650-341-7389 | |
Ms. Luz Denise Govea, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd Ste 115, San Mateo, CA 94402 Phone: 650-294-2812 | |
Diana Moore, MA LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283 | |
Clifford Reis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8540 Fax: 650-522-9830 | |
Mr. Marcos H. Chacon Jr., M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5368 | |
Luke Wilkerson, M.S.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 619-365-9956 | |
Ms. Nancy Grace Devaurs, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1611 Borel Pl, Ste. 209, San Mateo, CA 94402 Phone: 650-571-7700 Fax: 650-571-7707 |