| Izzo Marriage And Family Therapy | |
|
55 W 5th Ave Apt 9a San Mateo CA 94402-2052 | |
| (650) 458-7737 | |
| Not Available |
| Full Name | Izzo Marriage And Family Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 55 W 5th Ave Apt 9a, San Mateo, California |
| Authorized Official Name and Position | Anna Izzo (CEO) |
| Authorized Official Contact | 6504587737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Izzo Marriage And Family Therapy 307 South B Street California CA 94401-4053 Ph: (650) 223-5605 | Izzo Marriage And Family Therapy 55 W 5th Ave Apt 9a San Mateo CA 94402-2052 Ph: (650) 458-7737 |
| NPI Number | 1518557552 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518557552 | NPI | - | NPPES |
| NPI | Other | 1629561816 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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