Provider Demographics
NPI:1629685771
Name:KURIAN, REYNA MARIE
Entity type:Individual
Prefix:
First Name:REYNA
Middle Name:MARIE
Last Name:KURIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 MIDDLEFIELD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2567
Mailing Address - Country:US
Mailing Address - Phone:650-798-6330
Mailing Address - Fax:
Practice Address - Street 1:2741 MIDDLEFIELD RD
Practice Address - Street 2:STE 102
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2651
Practice Address - Country:US
Practice Address - Phone:650-798-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA158785106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist