| NPI | 1295390938 |
|---|---|
| Doing Business As | MICHELLE MEDEIROS, PH.D. |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MEDEIROS Clinical Psychologist 650-830-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2022-05-24 |