Individual
MEENAL JOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128-3908
(415) 296-5290
Mailing address
1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128-3908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
33434
CA
103TC1900X
Counseling Psychologist
Primary
33434
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2020
Last updated
10/22/2024
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