Doctor Name: | MARCIE PAIS |
NPI Number: | 1073758447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC28005 |
Business Practice Address: | 600 Sharon Park Dr # 94025 Ste. 301a 94025 Menlo Park, CA - 940256948 |
Business Phone Number: | 6505619275 |
Business Fax Number: | |
Mailing Address: | 600 Sharon Park Dr # 94025, Ste. 301a 94025 MENLO PARK |
State: | CA |
Postal Code: | 940256948 |
Phone Number: | 6505619275 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MFC28005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |