Jess H Ghannam in Emeryville - Clinical Neuropsychologist
Jess H Ghannam - NPI 1285790154
Jess H Ghannam is a Clinical Neuropsychologist in Emeryville, California. Jess H Ghannam practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jess H Ghannam is 1285790154. The last update date is 2012-09-05.
Jess H Ghannam's current location address is 1335 Stanford, Emeryville, California. You can contact this provider via phone number 5106475101 and fax number 5106475105. The mailing address for Jess H Ghannam is 1335 Stanford, Emeryville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jess H Ghannam |
|---|---|
| Address | 1335 Stanford, Emeryville, California |
| Phone Number | 5106475101 |
| Fax Number | 5106475105 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285790154 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2012-09-05 |
Provider Mailing Address Detail
| Address | 1335 Stanford |
|---|---|
| City | Emeryville |
| State | California (CA) |
| Post Code | 946082536 |
| Phone Number | 5106475101 |
| Fax Number | 5106475105 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY9261 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ20562Z | CA | GROUP ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jess H Ghannam by the Centers for Medicare & Medicaid Services?
The Jess H Ghannam has been issued the NPI (National Provider Identifier) 1285790154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jess H Ghannam?
The Jess H Ghannam is physically situated at 1335 Stanford, in the city of Emeryville, state of CA, with the postal code 946082536.
What is Jess H Ghannam's area of expertise and its corresponding taxonomy classification?
The Jess H Ghannam's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jess H Ghannam's 1285790154 issued?
The Jess H Ghannam's 1285790154 was issued on 2006-12-28.
As of what date was the information pertaining to Jess H Ghannam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jess H Ghannam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-05.
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