Shirley J Waldum


Address: 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3136
Phone: 6502555292

Shirley J Waldum (NPI# 1699832253, PAC ID# 8820283732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1699832253
PAC ID by PECOS 8820283732
Professional Enrollment ID I20101117000307
Full Name Shirley J Waldum
Address 155 Bovet Rd
Suite 404
San Mateo
CA 94402-3136
Phone Number 6502555292
Gender F
Graduation Year 1980
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
155 Bovet Rd, Suite 404, San Mateo, CA 94402-3136 6502555292

Organization Information

Office Location

Street Address 155 BOVET RD
SUITE 404
City SAN MATEO
State CA
Zip 94402-3136

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Christina Nicole Goultas Physical Therapy M. Turner, Inc. 800 S Claremont St, Suite 106, San Mateo, CA 94402-1449
Jacqueline M Zayac Physical Therapy M. Turner, Inc. 800 S Claremont St, Suite 106, San Mateo, CA 94402-1449
Marina Turner Physical Therapy M. Turner, Inc. 800 S Claremont St, Suite 106, San Mateo, CA 94402-1449
Jacqlyn Fenton Physical Therapy M. Turner, Inc. 800 S Claremont St, San Mateo, CA 94402-1449
Emily Rae Uphoff Nurse Practitioner Planned Parenthood Mar Monte, Inc 29 Baywood Ave, San Mateo, CA 94402-1516
Emma Ruth Ford Nurse Practitioner Planned Parenthood Mar Monte, Inc 29 Baywood Ave, San Mateo, CA 94402-1516
Miriam A Sheinbein Family Medicine Planned Parenthood Mar Monte, Inc 29 Baywood Ave, San Mateo, CA 94402-1516
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Competitor

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City SAN MATEO
Zip Code 94402
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty SAN MATEO + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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