Individual
JENNIFER BASURTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 S WHITE RD, SAN JOSE, CA 95127-4760
(408) 673-4892
Mailing address
450 HARVARD AVE APT 1P, SANTA CLARA, CA 95051-6441
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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