Penny Thomas-proctor LMFT

NPI 1033466693 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1033466693
Gender Female
Enumeration Date 08/13/2012
Last Updated 02/04/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
165 ARCH ST
REDWOOD CITY CA, 94062-1303, US
Phone (650) 363-0249
Fax
Business Location
2995 WOODSIDE RD
SUITE 400-172
WOODSIDE CA, 94062-2446, US
Phone (650) 363-0249
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 36602
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According to our database, Mrs. Penny Thomas-proctor LMFT NPI is 1033466693, taxonomy code is 106H00000X and license number is MFC 36602, license state is located at California. Penny Thomas-proctor LMFT physically located at 165 Arch St, Redwood City CA, 94062-1303. NPI Number Penny Thomas-proctor LMFT has the Individual type.

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1033466693 NPI number is provided on an as is basis without warranty of any kind. 1033466693 is maintained by the National Plan & Provider Enumeration System. The contents of Penny Thomas-proctor LMFT are for informational purposes only.