Provider Demographics
NPI:1740519412
Name:SINNOTT, MAUREEN ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ANNE
Last Name:SINNOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BREWSTER AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1312
Mailing Address - Country:US
Mailing Address - Phone:313-319-7995
Mailing Address - Fax:650-593-3350
Practice Address - Street 1:1330 BREWSTER AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1312
Practice Address - Country:US
Practice Address - Phone:313-319-7995
Practice Address - Fax:650-593-3350
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22724103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist