| Pacific Anxiety Group | |
|
845 El Camino Real Menlo Park CA 94025-4807 | |
| (650) 762-8352 | |
| Not Available |
| Full Name | Pacific Anxiety Group |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 845 El Camino Real, Menlo Park, California |
| Authorized Official Name and Position | Robert Matthew Holaway (DIRECTOR) |
| Authorized Official Contact | 6509953615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Anxiety Group 845 El Camino Real Menlo Park CA 94025-4807 Ph: (650) 762-8352 | Pacific Anxiety Group 845 El Camino Real Menlo Park CA 94025-4807 Ph: (650) 762-8352 |
| NPI Number | 1144562828 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144562828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY22248 (California) | Primary |
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