Individual
DEXTER LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 WILLOW RD, MAIL STOP 170A/MPD, MENLO PARK, CA 94025-2539
(650) 614-9997
(650) 617-2687
Mailing address
795 WILLOW RD, MAIL STOP 170A/MPD, MENLO PARK, CA 94025-2539
(650) 614-9997
(650) 617-2687
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
67556
CT
2084P0800X
Psychiatry Physician
Primary
A157092
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2016
Last updated
10/18/2022
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