MEDICARE: MARIA PAZ GONZALEZ CORDERO LMFT

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	126320	CA
2	106H00000X	Marriage & Family Therapist	102843	CA

General Provider Information

NPI Number	:	1205434784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PAZ GONZALEZ CORDERO LMFT

Provider Business Mailing Address
First Line	:	1700 SAND HILL RD APT 409
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94304-2106
Country	:	US
Telephone Number	:	650-422-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	6540 SCHMIDT LN UNIT D112
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-3276
Country	:	US
Telephone Number	:	650-422-9977
Fax Number	:

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

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	01/31/2023

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