Individual
HALEY MAYENKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 LARKSPUR LANDING CIR STE 160, LARKSPUR, CA 94939-1766
(707) 258-8757
Mailing address
12 EXECUTIVE PARK DR NE STE 142, ATLANTA, GA 30329-2206
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
187205
CA
2084P0800X
Psychiatry Physician
Primary
93320
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
01/02/2024
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