=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184816001
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GITI ZAHIR PIEPER M.S., MFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2007
-----------------------------------------------------
Last Update Date | 03/07/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4966 EL CAMINO REAL STE 100
-----------------------------------------------------
City | LOS ALTOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94022
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-825-3767
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4966 EL CAMINO REAL STE 100
-----------------------------------------------------
City | LOS ALTOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94022-1406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-825-3767
-----------------------------------------------------
Fax | 510-324-3654
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MFC44769
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------