Provider Demographics
NPI:1821006891
Name:GOSS, VALERIE ANNE (MFT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANNE
Last Name:GOSS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 PICO LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1239
Mailing Address - Country:US
Mailing Address - Phone:650-279-7717
Mailing Address - Fax:650-941-2688
Practice Address - Street 1:1057 EL MONTE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2369
Practice Address - Country:US
Practice Address - Phone:650-279-7717
Practice Address - Fax:650-941-2688
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38086305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization