Mayo, Amy Gervasi

Mayo, Amy Gervasi is an sole proprietor health care provider with primary practice located at 205 E 3Rd Ave , San Mateo CA 94401-4051. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mayo, Amy Gervasi can be contacted via phone (650) 438-7024.

Contact Information

Primary practice address
205 E 3Rd Ave San Mateo CA 94401-4051
Phone: (650) 438-7024
Fax: (650) 359-3161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 40491 California

Profile Details

NPI number 1588710453
LBN Legal business name Mayo, Amy Gervasi
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588710453 NPPES
California Other 80641 MEDICAL

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