Individual
DR. ROGER P. MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 GRANT AVE, PALO ALTO, CA 94306-1907
(650) 321-5545
Mailing address
231 GRANT AVE, PALO ALTO, CA 94306-1907
(650) 462-2800
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
G037155
CA
Other
Enumeration date
05/15/2007
Last updated
03/03/2008
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