Individual provider · Type 1 NPI

Siobhan Theresa Cloherty

Student in an Organized Health Care Education/Training Program · San Mateo, CA

NPI number 1255057451 Active

Practice location

424 Peninsula Ave
San Mateo, CA 94401-1653

Call (800) 538-8365 Map

Fax (650) 286-4397

Mailing address

1116 Valencia Way
Pacifica, CA 94044-3533

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255057451

Siobhan Theresa Cloherty's National Provider Identifier is 1255057451, issued on Oct 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Mateo, CA. The record was last updated on Oct 18, 2022.