Healthcare Provider Details

I. General information

NPI: 1740064153
Provider Name (Legal Business Name): ELIZABETH ELAYNE PIEPER LMFT165552
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 MARCO POLO WAY STE E
BURLINGAME CA
94010-4513
US

IV. Provider business mailing address

1720 MARCO POLO WAY STE E
BURLINGAME CA
94010-4513
US

V. Phone/Fax

Practice location:
  • Phone: 415-802-2309
  • Fax:
Mailing address:
  • Phone: 415-802-2309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number165552
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: