Individual
MANJU PRABADARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 TECHNOLOGY DR, FREMONT, CA 94538-6337
(747) 777-2791
Mailing address
2111 ESSEX ST, BERKELEY, CA 94705-1814
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220108394
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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