Individual
DR. JENNIFER DANG MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2141
Mailing address
5722 SAN LORENZO DR # 300, SAN JOSE, CA 95123-2967
(408) 591-0043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PSY21176
CA
103T00000X
Psychologist
Primary
PSY21176
CA
171M00000X
Case Manager/Care Coordinator
PSY21176
CA
Other
Enumeration date
01/29/2007
Last updated
01/26/2022
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