Child Mind Medical Practice, PC
NPI #1134766041 in San Mateo, California
Provider Information
- NPI Number
- 1134766041
- Entity Type
- Organization
- Organization Name
- Child Mind Medical Practice, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILD MIND MEDICAL PRACTICE, PLLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Dec 10, 2019
Practice Location
- Address
- 2000 ALAMEDA DE LAS PULGAS STE 242
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-1271
- Phone
- (650) 931-6501
Authorized Official
- Name
- TERENCE BYRNES
- Title
- OPERATIONS MANAGER
- Phone
- (650) 931-6501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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