Jimini Health Psychology Professional Corporation | |
548 Gerona Rd Stanford CA 94305-8449 | |
(786) 247-3983 | |
Not Available |
Full Name | Jimini Health Psychology Professional Corporation |
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Speciality | Psychologist - Clinical |
Location | 548 Gerona Rd, Stanford, California |
Authorized Official Name and Position | Chiara Waingarten (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7862473983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jimini Health Psychology Professional Corporation 548 Gerona Rd Stanford CA 94305-8449 Ph: () - | Jimini Health Psychology Professional Corporation 548 Gerona Rd Stanford CA 94305-8449 Ph: (786) 247-3983 |
NPI Number | 1952142770 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 10/28/2024 |
Certification Date | 10/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952142770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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