Provider Demographics
NPI:1669018412
Name:UYEDA, MAURA E
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:E
Last Name:UYEDA
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 1:1525 MIRAMONTE AVE UNIT 3644
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-9025
Mailing Address - Country:US
Mailing Address - Phone:650-618-6434
Mailing Address - Fax:650-618-6434
Practice Address - Street 1:1307 S MARY AVE STE 250
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3071
Practice Address - Country:US
Practice Address - Phone:650-618-6434
Practice Address - Fax:650-618-6434
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW896711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical