DR. Carmenita Jiles, PHD

NPI #1083869440 in Stockton, California

Provider Information

NPI Number: 1083869440
Entity Type: Individual
Name: DR. Carmenita Jiles, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Nov 25, 2008
Last Updated: Sep 6, 2023

Practice Location

Address: 7707 AUSTIN RD
City: Stockton
State: California
ZIP Code: 95215-8312
Phone: (209) 467-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Psychologist	103T00000X
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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