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1777 Borel Pl Suite 403 San Mateo CA 94402-3509 | |
| (650) 358-0900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1777 Borel Pl, San Mateo, California |
| Authorized Official Name and Position | Stanley Eugene Piver (MARRIAGE, FAMILY THERAPIST) |
| Authorized Official Contact | 5104812308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18121 Robscott Ave Hayward CA 94541-2241 Ph: (510) 481-2308 | 1777 Borel Pl Suite 403 San Mateo CA 94402-3509 Ph: (650) 358-0900 |
| NPI Number | 1932304698 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304698 | NPI | - | NPPES |
| 25771 | Other | CA | CERTIFIED MARRIAGE, FAMIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 25771 (California) | Primary |
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