Mayo, Danessa Iza

Mayo, Danessa Iza is an sole proprietor health care provider with primary practice located at 3893 Fiano Cmn , Fremont CA 94555-2280. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mayo, Danessa Iza can be contacted via phone (510) 497-0478.

Contact Information

Primary practice address
3893 Fiano Cmn Fremont CA 94555-2280
Phone: (510) 497-0478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 29622 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY29622 California

Profile Details

NPI number 1043615073
LBN Legal business name Mayo, Danessa Iza
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2014
Last updated Apr 11th, 2023 - about 2 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 1043615073 NPPES
California Other D6949774 DRIVER'S LICENSE

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