Individual
MARY JEAN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
903 ALICE LN, MENLO PARK, CA 94025-5124
(650) 465-7263
(650) 325-9011
Mailing address
903 ALICE LN, MENLO PARK, CA 94025-5124
(650) 465-7263
(650) 325-9011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY9913
CA
103TC0700X
Clinical Psychologist
PSY9913
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY9913
CA
Other
Enumeration date
02/22/2007
Last updated
04/29/2024
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