Marisa Bacon

NPI #1184455313 in Sunnyvale, California

Provider Information

NPI Number: 1184455313
Entity Type: Individual
Name: Marisa Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Aug 9, 2024
Last Updated: Aug 9, 2024

Practice Location

Address: 819 W IOWA AVE
City: Sunnyvale
State: California
ZIP Code: 94086-5926
Phone: (408) 522-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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