Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mid-Peninsula Eating Disorder Clinic, a Marriage and Family Therapy Co

Organization Marriage & Family Therapist · NPI 1093190407

Mid-Peninsula Eating Disorder Clinic, a Marriage and Family Therapy Co is a Marriage & Family Therapist in Palo Alto, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

220 California Ave Ste 100
Palo Alto, CA 94306-1627
Phone: (650) 319-7225
Fax: (650) 618-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT44947 (CA)

Record details

NPI number1093190407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendi Conley — Billing Manager · (424) 298-8901
Other names Mpedc; Mpedc
NPI enumeratedJuly 27, 2015
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address220 California Ave Ste 100, Palo Alto, CA 94306-1627

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