Provider Demographics
NPI:1215122098
Name:GIRARD, DANA MONIQUE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:MONIQUE
Last Name:GIRARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WOODSIDE PLZ STE 412
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-2500
Mailing Address - Country:US
Mailing Address - Phone:650-889-8765
Mailing Address - Fax:650-262-2510
Practice Address - Street 1:1788 KANSAS ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-2635
Practice Address - Country:US
Practice Address - Phone:650-889-8765
Practice Address - Fax:650-649-1943
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25448103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical