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Organization
PALO ALTO SMART THERAPY
Active
Organization
PALO ALTO SMART THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA REGEDANZ PH.D. (CEO)
(650) 248-0754
Entity
Organization
Contact information
Practice address
825 SAN ANTONIO RD STE 108, PALO ALTO, CA 94303-4620
(650) 248-0754
Mailing address
825 SAN ANTONIO RD STE 108, PALO ALTO, CA 94303-4620
(650) 248-0754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23220
CA
106H00000X
Marriage & Family Therapist
MFT18361
CA
Other
Enumeration date
01/21/2014
Last updated
05/05/2014
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