Dr. Mary Lou Mied
Psychologist
919 Village Ctr #9
Lafayette
, California 94549-3598
Dr. Mary Lou Mied
Psychologist
919 Village Ctr #9
Lafayette
, California 94549-3598
(925) 942-0837
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Mary Lou Mied
- Po Box 472
- Lafayette, CA
- Zip : 94549-0472
- Fax : (925) 942-0837
- Phone : (925) 942-0834
Second Address
- Dr. Mary Lou Mied
- 919 Village Ctr #9
- Lafayette, CA
- Zip : 94549-3598
- Fax : (925) 942-0837
- Phone : (925) 942-0834
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY 21629 | CA |
| Y | 103T00000X | Psychologist | PSY 21629 | CA |
National Provider Identifier
| NPI | 1003057860 |
|---|---|
| Provider Name | Dr. Mary Lou Mied |
| First Address | Lafayette, CA 94549-0472 |
| Second Address | Lafayette, CA 94549-3598 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2009 |
| Last Update Date | 17/05/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.