| Healthy Brain Center, A Licensed Clinical Social Work | |
|
2450 Samaritan Dr San Jose CA 95124-3912 | |
| (408) 438-3604 | |
| Not Available |
| Full Name | Healthy Brain Center, A Licensed Clinical Social Work |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 2450 Samaritan Dr, San Jose, California |
| Authorized Official Name and Position | Lindsay Smith (OWNER) |
| Authorized Official Contact | 4084383604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Brain Center, A Licensed Clinical Social Work 2450 Samaritan Dr San Jose CA 95124-3912 Ph: (408) 438-3604 | Healthy Brain Center, A Licensed Clinical Social Work 2450 Samaritan Dr San Jose CA 95124-3912 Ph: (408) 438-3604 |
| NPI Number | 1073204913 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073204913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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