Healthcare Provider Details

I. General information

NPI: 1992206767
Provider Name (Legal Business Name): DHP GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 FAYETTE DR APT 204
MOUNTAIN VIEW CA
94040-1154
US

IV. Provider business mailing address

2680 FAYETTE DR APT 204
MOUNTAIN VIEW CA
94040-1154
US

V. Phone/Fax

Practice location:
  • Phone: 650-452-5650
  • Fax:
Mailing address:
  • Phone: 650-452-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DANA BUCHBUT
Title or Position: CEO
Credential:
Phone: 650-452-5650