Doctor Name: | MS. GINA PATRICIA MEZZERA |
NPI Number: | 1588780027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 2415 University Ave Ste 301 East Palo Alto, CA - 943031148 |
Business Phone Number: | 6503634030 |
Business Fax Number: | 6503286834 |
Mailing Address: | 69 Mayfield Ave, DALY CITY |
State: | CA |
Postal Code: | 940153914 |
Phone Number: | 2095986332 |
Fax Number: | 6503286834 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |