| Todd Black Licensed Marriage And Family Therapist Pc | |
|
120 N El Camino Real San Mateo CA 94401-2791 | |
| (650) 260-8564 | |
| Not Available |
| Full Name | Todd Black Licensed Marriage And Family Therapist Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 N El Camino Real, San Mateo, California |
| Authorized Official Name and Position | Todd C Black (PRESIDENT) |
| Authorized Official Contact | 6502608564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Black Licensed Marriage And Family Therapist Pc 120 N El Camino Real San Mateo CA 94401-2791 Ph: (650) 260-8564 | Todd Black Licensed Marriage And Family Therapist Pc 120 N El Camino Real San Mateo CA 94401-2791 Ph: (650) 260-8564 |
| NPI Number | 1528671674 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528671674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Brightline Medical Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Concar Dr, San Mateo, CA 94402 Phone: 888-224-7332 | |
Transcend Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 S B St Ste 4, San Mateo, CA 94401 Phone: 510-541-4837 Fax: 650-431-2157 | |
Stepping Stones Center For Autistic Spectrum Disorders, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3190 Clearview Way, Suite 103, San Mateo, CA 94402 Phone: 650-357-0571 Fax: 650-357-0676 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3982 | |
Richard F. Gravina, M.d. A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 N. San Mateo Drive, San Mateo, CA 94401 Phone: 650-348-6811 Fax: 650-348-3651 |