Doctor Name: | DR. HELEN TAIT |
NPI Number: | 1053599977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | PSY14384 |
Business Practice Address: | 20395 Pacifica Dr Ste 101 Cupertino, CA - 950143016 |
Business Phone Number: | 4087258043 |
Business Fax Number: | 4087258063 |
Mailing Address: | 20395 Pacifica Dr Ste 101, CUPERTINO |
State: | CA |
Postal Code: | 950143016 |
Phone Number: | 4087258043 |
Fax Number: | 4087258063 |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 02/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY14384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |