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NPI 1558565895

NPI 1558565895 : MOLLY MERRILL STERLING BOTH PHD AND MFC : CORTE MADERA, CA

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General NPI Number Information
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    NPI Number           |    1558565895
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    Entity Type          |    Individual 
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    Provider Name        |    MOLLY MERRILL STERLING BOTH PHD AND MFC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    100 TAMAL PLAZA SUITE 170
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    City                 |    CORTE MADERA
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    State                |    CA
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    Zip                  |    94925
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    Country              |    US
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    Telephone            |    415-927-7419
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    625 LOVELL AVE 
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    City                 |    MILL VALLEY
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    State                |    CA
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    Zip                  |    94941
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    Country              |    US
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    Telephone            |    415-383-1006
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY13813
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC21899
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    License Number State |    CA
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