Healthcare Provider Details

I. General information

NPI: 1124823281
Provider Name (Legal Business Name): MAUREEN ELIZABETH L'EPLATTENIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E VIRGINIA ST STE 100
SAN JOSE CA
95112-5865
US

IV. Provider business mailing address

3800 COOLIDGE AVE
OAKLAND CA
94602-3399
US

V. Phone/Fax

Practice location:
  • Phone: 408-938-2113
  • Fax: 408-579-6143
Mailing address:
  • Phone: 510-482-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164702
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: