| Mpedc | |
|
220 California Ave Ste 100 Palo Alto CA 94306-1627 | |
| (650) 319-7225 | |
| (650) 618-5556 |
| Full Name | Mpedc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 220 California Ave Ste 100, Palo Alto, California |
| Authorized Official Name and Position | Wendi Jo Conley (BILLING MANAGER) |
| Authorized Official Contact | 4242988901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpedc 220 California Ave Ste 100 Palo Alto CA 94306-1627 Ph: (650) 319-7225 | Mpedc 220 California Ave Ste 100 Palo Alto CA 94306-1627 Ph: (650) 319-7225 |
| NPI Number | 1093190407 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093190407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT44947 (California) | Primary |
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