Provider Demographics
NPI:1518117662
Name:SAECHAO, MUNNYUAN (PSYD, LCSW, PPSC)
Entity Type:Individual
Prefix:MISS
First Name:MUNNYUAN
Middle Name:
Last Name:SAECHAO
Suffix:
Gender:F
Credentials:PSYD, LCSW, PPSC
Other - Prefix:MISS
Other - First Name:MUNN
Other - Middle Name:
Other - Last Name:SAECHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, LCSW, PPSC
Mailing Address - Street 1:800 W EL CAMINO REAL STE 180
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2586
Mailing Address - Country:US
Mailing Address - Phone:650-880-3132
Mailing Address - Fax:
Practice Address - Street 1:800 W EL CAMINO REAL STE 180
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2586
Practice Address - Country:US
Practice Address - Phone:650-880-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA870301041C0700X
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical