Healthcare Provider Details

I. General information

NPI: 1518117662
Provider Name (Legal Business Name): MUNNYUAN SAECHAO PSYD, LCSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MUNN SAECHAO PSYD, LCSW, PPSC

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 11/11/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W EL CAMINO REAL STE 180
MOUNTAIN VIEW CA
94040-2586
US

IV. Provider business mailing address

800 W EL CAMINO REAL STE 180
MOUNTAIN VIEW CA
94040-2586
US

V. Phone/Fax

Practice location:
  • Phone: 650-880-3132
  • Fax:
Mailing address:
  • Phone: 650-880-3132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87030
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: