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Provider Information for 1083948137


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AVIVA EURIPIDES


Sex: Female

NPI: 1083948137
Last Updated: 2022-12-01
Certification Date: 2022-11-29

Details

NameValue
NPI1083948137
Enumeration Date2009-09-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3024 WILLOW PASS RD STE 200
CONCORD, CA 94519-2577
United States

Phone: 925-692-0090 | Fax:925-692-0091
 
Primary Practice Address 3024 WILLOW PASS RD
SUITE 200
CONCORD, CA 94519-2588
United States

Phone: 925-692-0090 | Fax:925-692-0091
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA37090