Doctor Name: | DANIELA MARIA GOMES DE VASQUES |
NPI Number: | 1427112408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3230 Kerner Blvd San Rafael, CA - 949014840 |
Business Phone Number: | 4154734195 |
Business Fax Number: | 4154733080 |
Mailing Address: | 3230 Kerner Blvd, SAN RAFAEL |
State: | CA |
Postal Code: | 949014840 |
Phone Number: | 4154734195 |
Fax Number: | 4154733080 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |