Doctor Name: | MEIRE APARECIDA SANTOS |
NPI Number: | 1316091804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MFTI 47756 |
Business Practice Address: | 142 Trestle Cv Hercules, CA - 945472628 |
Business Phone Number: | 5103679888 |
Business Fax Number: | |
Mailing Address: | 142 Trestle Cv, HERCULES |
State: | CA |
Postal Code: | 945472628 |
Phone Number: | 5103679888 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | MFTI 47756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |