Basic Information
| Provider Information | |||||||||
| NPI: | 1003141169 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHLANGER | ||||||||
| FirstName: | CARINA | ||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SCHLANGER | ||||||||
| OtherFirstName: | KARIN | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | MFT | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 555 MIDDLEFIELD RD | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943012124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503235457 | ||||||||
| FaxNumber: | 6503235457 | ||||||||
| Practice Location | |||||||||
| Address1: | 555 MIDDLEFIELD RD | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943012124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503235457 | ||||||||
| FaxNumber: | 6503235457 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2009 | ||||||||
| LastUpdateDate: | 10/07/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFT28709 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.