Mary J Stavn in East Palo Alto - Clinical

Mary J Stavn - NPI 1639296601

Mary J Stavn is a Clinical in East Palo Alto, California. Mary J Stavn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary J Stavn is 1639296601. The last update date is 2011-12-02.

Mary J Stavn's current location address is 2415 University Ave, East Palo Alto, California. You can contact this provider via phone number 6503634030 and fax number 6503286834. The mailing address for Mary J Stavn is 2415 University Ave, East Palo Alto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary J Stavn
Address 2415 University Ave, East Palo Alto, California
Phone Number 6503634030
Fax Number 6503286834
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1639296601
Provider Enumeration Date 2007-03-23
Last Updated Date 2011-12-02

Provider Mailing Address Detail

Address 2415 University Ave
City East Palo Alto
State California (CA)
Post Code 943031164
Phone Number 6503634030
Fax Number 6503286834

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 26145
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Mary J Stavn

What is the unique 10-digit identification code issued to Mary J Stavn by the Centers for Medicare & Medicaid Services?

The Mary J Stavn has been assigned the NPI (National Provider Identifier) 1639296601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mary J Stavn is physically located?

The Mary J Stavn is situated at the following address: 2415 University Ave, East Palo Alto, CA 943031164.

What is the Mary J Stavn's specialty and taxonomy code?

The Mary J Stavn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When did the Mary J Stavn receive its 1639296601?

The Mary J Stavn was issued its 1639296601 on 2007-03-23, which is the date when the organization was assigned this unique identifier.

When was the information regarding Mary J Stavn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary J Stavn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-02.

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