Provider Demographics
NPI:1538354428
Name:CEMBELLIN, KELI DANIELLE (MA, MFTI)
Entity type:Individual
Prefix:MRS
First Name:KELI
Middle Name:DANIELLE
Last Name:CEMBELLIN
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:MS
Other - First Name:KELI
Other - Middle Name:DANIELLE
Other - Last Name:TWYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:455 SILICON VALLEY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138
Mailing Address - Country:US
Mailing Address - Phone:408-370-0892
Mailing Address - Fax:
Practice Address - Street 1:455 SILICON VALLEY BOULEVARD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138
Practice Address - Country:US
Practice Address - Phone:408-370-0892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health