Provider Demographics
NPI:1336343383
Name:EPPY, ALI (PHD MARRIAGE & FAMIL)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:EPPY
Suffix:
Gender:F
Credentials:PHD MARRIAGE & FAMIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 SCOTTS VALLEY DRIVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066
Mailing Address - Country:US
Mailing Address - Phone:831-438-4113
Mailing Address - Fax:831-475-0229
Practice Address - Street 1:4113 SCOTTS VALLEY DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066
Practice Address - Country:US
Practice Address - Phone:831-438-4113
Practice Address - Fax:831-475-0229
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 18304106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist