Heather Jebananthan
NPI #1912451766 in Represa, California
Provider Information
- NPI Number
- 1912451766
- Entity Type
- Individual
- Name
- Heather Jebananthan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 10, 2016
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 100 PRISON RD
- City
- Represa
- State
- California
- ZIP Code
- 95671-3000
- Phone
- (916) 985-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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