Healthcare Provider Details

I. General information

NPI: 1093293094
Provider Name (Legal Business Name): MEGAN KAYE ABDOLRASHIDI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN KAYE REUTER

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 01/11/2022
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 ARROYO CIR
GILROY CA
95020-7303
US

IV. Provider business mailing address

7601 STONERIDGE DR
PLEASANTON CA
94588-4501
US

V. Phone/Fax

Practice location:
  • Phone: 408-848-7018
  • Fax:
Mailing address:
  • Phone: 925-847-5051
  • Fax: 925-847-5628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY30033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: