Provider Demographics
NPI:1780723874
Name:EIPP, MICHAEL G I (CPRP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:G
Last Name:EIPP
Suffix:I
Gender:M
Credentials:CPRP
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:GEORGE
Other - Last Name:EIPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPRP
Mailing Address - Street 1:200 IRENE CT
Mailing Address - Street 2:APT. #26
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2057
Mailing Address - Country:US
Mailing Address - Phone:650-595-2754
Mailing Address - Fax:
Practice Address - Street 1:248 REDWOOD AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-3074
Practice Address - Country:US
Practice Address - Phone:650-363-4435
Practice Address - Fax:650-361-1620
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor