Healthcare Provider Details

I. General information

NPI: 1508903378
Provider Name (Legal Business Name): BELINDA M YEE MASTERS MARRIAGE FA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 LENZEN AVE SUITE 1900
SAN JOSE CA
95126-2737
US

IV. Provider business mailing address

976 LENZEN AVE SUITE 1900
SAN JOSE CA
95126-2737
US

V. Phone/Fax

Practice location:
  • Phone: 408-792-5610
  • Fax:
Mailing address:
  • Phone: 408-792-5652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number45675
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: