MEDICARE: NATALIE A PIGLIUCCI PSYD

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	103TC0700X	Clinical Psychologist	PSY33174	CA

General Provider Information

NPI Number	:	1821308495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE A PIGLIUCCI PSYD

Provider Business Mailing Address
First Line	:	1720 EL CAMINO REAL STE 140
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3231
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:	415-296-5299

Provider Business Practice Location Address
First Line	:	1720 EL CAMINO REAL STE 140
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3231
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:	415-296-5299

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

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	09/10/2024

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