Provider Demographics
NPI:1134355464
Name:MOSQUEDA, MARIA MONTSERRAT (LMFT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MONTSERRAT
Last Name:MOSQUEDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39791 PASEO PADRE PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2979
Mailing Address - Country:US
Mailing Address - Phone:510-823-7550
Mailing Address - Fax:866-774-2586
Practice Address - Street 1:39791 PASEO PADRE PKWY STE E
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2979
Practice Address - Country:US
Practice Address - Phone:925-695-7319
Practice Address - Fax:866-774-2586
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist