MEDICARE: SVETLANA KREIMER 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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MFC 53525	OTHER	CA	BBS

General Provider Information

NPI Number	:	1790981850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SVETLANA KREIMER LMFT

Provider Business Mailing Address
First Line	:	3705 HAVEN AVE
Second Line	:	SUITE 105
City	:	MENLO PARK
State	:	CA
Zip	:	94025-1011
Country	:	US
Telephone Number	:	650-619-1857
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 HAVEN AVE
Second Line	:	SUITE 105
City	:	MENLO PARK
State	:	CA
Zip	:	94025-1011
Country	:	US
Telephone Number	:	650-619-1857
Fax Number	:

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/30/2013

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