Mary Kay Bigelow, MFT

Individual provider Active NPI Marriage & Family Therapist · Los Altos, CA

NPI 1700913274 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700913274
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC30305 (CA)
Practice address
900 N San Antonio Rd
Suite 210
Los Altos, CA 94022-1373
Phone
(650) 948-3400
Fax
(650) 948-3400
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC30305CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC30305 CA Yes

Addresses

Primary practice location

900 N San Antonio Rd
Suite 210
Los Altos, CA 94022-1373

Mailing address

900 N San Antonio Rd
Suite 210
Los Altos, CA 94022-1373
Phone (650) 948-3400

Other providers in Los Altos, CA

All providers in Los Altos, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.