Revervale Psychotherapy Pc | |
1636 Watson Ct Milpitas CA 95035-6822 | |
(650) 714-7595 | |
(669) 235-8105 |
Full Name | Revervale Psychotherapy Pc |
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Speciality | Clinic/center |
Location | 1636 Watson Ct, Milpitas, California |
Authorized Official Name and Position | Vinh Q Thai (PRESIDENT) |
Authorized Official Contact | 6507147595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revervale Psychotherapy Pc 1636 Watson Ct Milpitas CA 95035-6822 Ph: (650) 714-7595 | Revervale Psychotherapy Pc 1636 Watson Ct Milpitas CA 95035-6822 Ph: (650) 714-7595 |
NPI Number | 1962090761 |
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Provider Enumeration Date | 01/06/2021 |
Last Update Date | 12/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962090761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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