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1100 S El Camino Real Ste 1 San Mateo CA 94402-2880 | |
| (415) 509-6734 | |
| (415) 668-5996 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1100 S El Camino Real Ste 1, San Mateo, California |
| Authorized Official Name and Position | Robert A. Williams (PRESIDENT & PSYCHOLOGIST) |
| Authorized Official Contact | 4155096734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 S El Camino Real Ste 1 San Mateo CA 94402-2880 Ph: (415) 509-6734 | 1100 S El Camino Real Ste 1 San Mateo CA 94402-2880 Ph: (415) 509-6734 |
| NPI Number | 1174077069 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174077069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 21573 (California) | Primary |
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