Healthcare Provider Details

I. General information

NPI: 1477701423
Provider Name (Legal Business Name): STEVEN CHAPRALIS MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 VETERANS BLVD
REDWOOD CITY CA
94063-1712
US

IV. Provider business mailing address

PO BOX 2211
REDWOOD CITY CA
94064-2211
US

V. Phone/Fax

Practice location:
  • Phone: 650-817-9070
  • Fax: 650-817-9074
Mailing address:
  • Phone: 650-817-9070
  • Fax: 650-817-9074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number31813
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: