Provider Demographics
NPI:1861551251
Name:ASOK, KALPANA (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:KALPANA
Middle Name:
Last Name:ASOK
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 CASTRO ST STE 8
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2019
Mailing Address - Country:US
Mailing Address - Phone:408-808-1490
Mailing Address - Fax:
Practice Address - Street 1:655 CASTRO ST STE 8
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2019
Practice Address - Country:US
Practice Address - Phone:408-808-1490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 36269106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist