MEDICARE: MARILYN MAY M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1104178011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN MAY M.S.

Provider Business Mailing Address
First Line	:	14895 E 14TH ST
Second Line	:	SUITE 280
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2922
Country	:	US
Telephone Number	:	510-957-5465
Fax Number	:

Provider Business Practice Location Address
First Line	:	14895 E 14TH ST
Second Line	:	SUITE 280
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2922
Country	:	US
Telephone Number	:	510-957-5465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	12/15/2016

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Directions to “ MARILYN MAY M.S.” Practice Location

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