Provider Demographics
NPI:1295853828
Name:MICALI, HAL LYNNE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:HAL LYNNE
Middle Name:
Last Name:MICALI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 S SAN ANTONIO RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3682
Mailing Address - Country:US
Mailing Address - Phone:650-917-9100
Mailing Address - Fax:650-941-8083
Practice Address - Street 1:329 S SAN ANTONIO RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3682
Practice Address - Country:US
Practice Address - Phone:650-917-9188
Practice Address - Fax:650-941-8983
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34381106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist