Provider Demographics
NPI:1932304698
Name:GENE PIVER,M.F.T.
Entity Type:Organization
Organization Name:GENE PIVER,M.F.T.
Other - Org Name:STANLEY PIVER
Other - Org Type:Other Name
Authorized Official - Title/Position:MARRIAGE, FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:PIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:510-481-2308
Mailing Address - Street 1:18121 ROBSCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2241
Mailing Address - Country:US
Mailing Address - Phone:510-481-2308
Mailing Address - Fax:510-481-5958
Practice Address - Street 1:1777 BOREL PL
Practice Address - Street 2:SUITE 403
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3509
Practice Address - Country:US
Practice Address - Phone:650-358-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25771106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA25771OtherCERTIFIED MARRIAGE, FAMIL