Individual
JASON TINERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 326-5530
Mailing address
1430 GORDON ST APT D, REDWOOD CITY, CA 94061-2755
(818) 294-3154
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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