Provider Demographics
NPI:1548322126
Name:RANSOHOFF, PAUL MARTIN (DMH)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MARTIN
Last Name:RANSOHOFF
Suffix:
Gender:M
Credentials:DMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 UNIVERSITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4636
Mailing Address - Country:US
Mailing Address - Phone:650-325-1579
Mailing Address - Fax:650-325-1746
Practice Address - Street 1:1050 UNIVERSITY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4636
Practice Address - Country:US
Practice Address - Phone:650-325-1579
Practice Address - Fax:650-325-1746
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8324103T00000X
103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis