Mayer, Johanna
Mayer, Johanna is an sole proprietor health care provider with primary practice located at 4370 Alpine Rd Suite 102, Portola Valley CA 94028-7952. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mayer, Johanna can be contacted via phone (650) 851-1164.Contact Information
Primary practice address
4370 Alpine Rd Suite 102
Portola Valley CA 94028-7952
Phone: (650) 851-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY5817 | California |
Profile Details
| NPI number | 1114054335 |
|---|---|
| LBN Legal business name | Mayer, Johanna |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 10th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114054335 | NPPES |
| California | Other | 151141 | VALUE OPTIONS PROVIDER # |
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