Provider Demographics
NPI:1821713504
Name:PALO ALTO PSYCHOLOGY TECHNOLOGIES INC
Entity Type:Organization
Organization Name:PALO ALTO PSYCHOLOGY TECHNOLOGIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-384-0384
Mailing Address - Street 1:361 TENNYSON AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3836
Mailing Address - Country:US
Mailing Address - Phone:650-384-0384
Mailing Address - Fax:
Practice Address - Street 1:361 TENNYSON AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-3836
Practice Address - Country:US
Practice Address - Phone:650-384-0384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health