MRS. PRISCILLA ANN SURDAM MFT
NPI 1023118643
Marriage & Family Therapist in Palo Alto, CA

Q: What is Priscilla Surdam's NPI number?

The NPI number for Priscilla Surdam is 1023118643. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Priscilla Surdam's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Priscilla Surdam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2006

200 CHANNING AVE, PALO ALTO, CA 94301(650) 688-3076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Priscilla Ann Surdam Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PRISCILLA ANN SURDAM MFT (NPI 1023118643) is an individual marriage & family therapist in Palo Alto, California, licensed in California (39339) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1023118643

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. PRISCILLA ANN SURDAMCredential: MFT

Location Address200 CHANNING AVEPalo Alto, CA 94301-2720

Mailing Address200 Channing AvePalo Alto, CA 94301-2720 · (650) 688-3076

Phone(650) 688-3076

Sole ProprietorNo

Enumeration DateSeptember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023118643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 39339

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

200 CHANNING AVE, Palo Alto, CA 94301

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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