Doctor Name: | MS. MARIA MICHELLE PORCH |
NPI Number: | 1043334634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.C.S.W. |
License Number: | LCS20764 |
Business Practice Address: | 802 Altos Oaks Dr Los Altos, CA - 940245403 |
Business Phone Number: | 4087129999 |
Business Fax Number: | |
Mailing Address: | 802 Altos Oaks Dr, LOS ALTOS |
State: | CA |
Postal Code: | 940245403 |
Phone Number: | 4087129999 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS20764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |