Provider Demographics
NPI:1366246597
Name:MURILLO, GEMA GISELLE H (MA)
Entity type:Individual
Prefix:
First Name:GEMA
Middle Name:GISELLE H
Last Name:MURILLO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GEMA
Other - Middle Name:GISELLE H
Other - Last Name:MURRILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SCHOOL PSYCHOLOGIST
Mailing Address - Street 1:1101 ALBERTA WAY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3747
Mailing Address - Country:US
Mailing Address - Phone:925-682-7474
Mailing Address - Fax:
Practice Address - Street 1:1101 ALBERTA WAY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3747
Practice Address - Country:US
Practice Address - Phone:925-682-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool