Individual
ALBERT LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 614-9997
Mailing address
795 WILLOW RD, MENLO PARK, CA 94025-2539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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