| Villa Street Services, Llc | |
|
990 Villa St Mountain View CA 94041-1236 | |
| (888) 688-9296 | |
| Not Available |
| Full Name | Villa Street Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 990 Villa St, Mountain View, California |
| Authorized Official Name and Position | Mark Shen (PRESIDENT) |
| Authorized Official Contact | 5127797276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Street Services, Llc 990 Villa St Mountain View CA 94041-1236 Ph: (888) 688-9296 | Villa Street Services, Llc 990 Villa St Mountain View CA 94041-1236 Ph: (888) 688-9296 |
| NPI Number | 1639901747 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639901747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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