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Organization

MID-PENINSULA EATING DISORDER CLINIC, A MARRIAGE AND FAMILY THERAPY CO

Active
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Organization

MID-PENINSULA EATING DISORDER CLINIC, A MARRIAGE AND FAMILY THERAPY CO

Active
Other names
MPEDC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDI JO CONLEY (BILLING MANAGER)
(424) 298-8901
Entity
Organization

Contact information

Practice address
220 CALIFORNIA AVE STE 100, PALO ALTO, CA 94306-1627
(650) 319-7225
(650) 618-5556
Mailing address
220 CALIFORNIA AVE STE 100, PALO ALTO, CA 94306-1627
(650) 319-7225
(650) 618-5556

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT44947
CA

Other

Enumeration date
07/27/2015
Last updated
10/30/2020
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