Organization · Type 2 NPI
Revervale Psychotherapy PC
Clinic/Center · Milpitas, CA
NPI number
1962090761
Active
Practice location
1636 Watson Ct
Milpitas, CA 95035-6822
Fax (669) 235-8105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
About NPI 1962090761
Revervale Psychotherapy PC's National Provider Identifier is 1962090761, issued on Jan 6, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Milpitas, CA. The record was last updated on Dec 30, 2022.