| Palo Alto Medical Foundation | |
|
795 El Camino Real Level 1, Jamplis Building Palo Alto CA 94301-2302 | |
| (650) 853-2904 | |
| Not Available |
| Full Name | Palo Alto Medical Foundation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 795 El Camino Real, Palo Alto, California |
| Authorized Official Name and Position | Paula Thibodeau (MANAGER) |
| Authorized Official Contact | 6509343526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Alto Medical Foundation 795 El Camino Real Level 1, Jamplis Building Palo Alto CA 94301-2302 Ph: () - | Palo Alto Medical Foundation 795 El Camino Real Level 1, Jamplis Building Palo Alto CA 94301-2302 Ph: (650) 853-2904 |
| NPI Number | 1184077497 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184077497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCSW 66546 (California) | Primary |
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