Revervale Psychotherapy PC
NPI #1962090761 in Milpitas, California
Provider Information
- NPI Number
- 1962090761
- Entity Type
- Organization
- Organization Name
- Revervale Psychotherapy PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 6, 2021
- Last Updated
- Dec 30, 2022
Practice Location
- Address
- 1636 WATSON CT
- City
- Milpitas
- State
- California
- ZIP Code
- 95035-6822
- Phone
- (650) 714-7595
Authorized Official
- Name
- VINH Q THAI, MD
- Title
- PRESIDENT
- Phone
- (650) 714-7595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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