Individual
JESSICA LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOORPARK AVE STE 319, SAN JOSE, CA 95128-2625
(408) 975-2763
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(949) 606-6759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2018
Last updated
02/27/2024
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