Eagle Services Group, P.C.
Psychologist in Mountain View, CA. Organization (NPI-2).
NPI number1689405367
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1689405367
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Services Group, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
990 Villa StMountain View, CA 94041-1236
Phone 888-688-9296
Mailing address
990 Villa StMountain View, CA 94041-1236
Authorized official
Mark Shen
President
5127797276
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