MEDICARE: MATTHEW DANIEL AHRENS

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	106H00000X	Marriage & Family Therapist	115372	CA

General Provider Information

NPI Number	:	1134052640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DANIEL AHRENS

Provider Business Mailing Address
First Line	:	570 EL CAMINO REAL STE 150, #109
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1262
Country	:	US
Telephone Number	:	650-242-5689
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 KATHERINE AVE
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94062-1320
Country	:	US
Telephone Number	:	650-242-5689
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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