Provider Demographics
NPI:1790881936
Name:MULLER-EBERHARD, MONIKA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:
Last Name:MULLER-EBERHARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 E MIDDLEFIELD RD APT 15
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-3833
Mailing Address - Country:US
Mailing Address - Phone:650-269-8334
Mailing Address - Fax:267-280-8493
Practice Address - Street 1:851 FREMONT AVE STE 106
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5602
Practice Address - Country:US
Practice Address - Phone:650-269-8334
Practice Address - Fax:267-280-8493
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS19178104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker