| Palo Alto Smart Therapy | |
|
825 San Antonio Rd Ste 108 Palo Alto CA 94303-4620 | |
| (650) 248-0754 | |
| Not Available |
| Full Name | Palo Alto Smart Therapy |
|---|---|
| Speciality | Psychologist |
| Location | 825 San Antonio Rd Ste 108, Palo Alto, California |
| Authorized Official Name and Position | Krista Regedanz (CEO) |
| Authorized Official Contact | 6502480754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Alto Smart Therapy 825 San Antonio Rd Ste 108 Palo Alto CA 94303-4620 Ph: (650) 248-0754 | Palo Alto Smart Therapy 825 San Antonio Rd Ste 108 Palo Alto CA 94303-4620 Ph: (650) 248-0754 |
| NPI Number | 1144642570 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144642570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY23220 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT18361 (California) | Secondary |
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