| Doctor Name: | MRS. REBECCA ANN CORMIER |
| NPI Number: | 1093039406 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, ACHP-SW |
| License Number: | LCS28691 |
| Business Practice Address: | 795 Willow Rd # 180dmpd Menlo Park, CA - 940252539 |
| Business Phone Number: | 6504935000 |
| Business Fax Number: | 6506172669 |
| Mailing Address: | 795 Willow Rd # 180dmpd, MENLO PARK |
| State: | CA |
| Postal Code: | 940252539 |
| Phone Number: | 6504935000 |
| Fax Number: | 6506172669 |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 12/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS28691 |
| 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 |