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Organization
JIMINI HEALTH PSYCHOLOGY PROFESSIONAL CORPORATION
Active
Organization
JIMINI HEALTH PSYCHOLOGY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIARA WAINGARTEN (AUTHORIZED OFFICIAL)
(786) 247-3983
Entity
Organization
Contact information
Practice address
548 GERONA RD, STANFORD, CA 94305-8449
(786) 247-3983
Mailing address
548 GERONA RD, STANFORD, CA 94305-8449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/05/2024
Last updated
11/26/2024
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