Doctor Name: | MR. MICHAEL NAGY |
NPI Number: | 1043566102 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 610 Elm St Ste 212 San Carlos, CA - 940703070 |
Business Phone Number: | 6505919623 |
Business Fax Number: | |
Mailing Address: | 586 Junipero Serra Blvd, STANFORD |
State: | CA |
Postal Code: | 943058442 |
Phone Number: | 6502483118 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2012 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |