Individual
JANA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP, ABSNP
Contact information
Practice address
51 E CAMPBELL AVE STE 109, CAMPBELL, CA 95008-2047
(692) 822-5106
Mailing address
51 E CAMPBELL AVE STE 109, CAMPBELL, CA 95008-2047
(831) 345-9999
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3272
CA
Other
Enumeration date
12/01/2014
Last updated
06/11/2023
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