DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JAN E KEARNY PH.D.

MEDICARE:  DR. JAN E KEARNY  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY 23808CA

General Provider Information

NPI Number : 1083774343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAN E KEARNY PH.D.
Provider Business Mailing Address
First Line : 1040 LINCOLN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-3150
Country : US
Telephone Number : 408-293-4489
Fax Number : 408-293-6188
Provider Business Practice Location Address
First Line : 1040 LINCOLN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-3150
Country : US
Telephone Number : 408-293-4489
Fax Number : 408-293-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2006
Last Update Date : 10/26/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1558445759 — DR. ELENA HERRERA PSY.D.
Practice Location Address:
1040 LINCOLN AVE
SAN JOSE, CA
95125-3150
Practice Phone: 408-290-1555
Practice Fax:
1013087816 — ALLIANCE COMMUNITY COUNSELING CENTER
Practice Location Address:
1040 LINCOLN AVE
SAN JOSE, CA
95125-3150
Practice Phone: 408-293-4489
Practice Fax: 408-293-6188
1669535480 — AMY LIESELOTTE KAELEHIWA WILLIAMS M.F.T.
Practice Location Address:
1040 LINCOLN AVE
SAN JOSE, CA
95125-3150
Practice Phone: 408-293-4489
Practice Fax: 408-293-6188
1972668614 — MR. EDWARD LOUIS SUBEGA LMFT
Practice Location Address:
1040 LINCOLN AVE
SAN JOSE, CA
95125-3150
Practice Phone: 408-293-4489
Practice Fax: 408-293-6188
1154486892 — MS. CYNTHIA DALE NORTON LMFT
Practice Location Address:
1040 LINCOLN AVE
SAN JOSE, CA
95125-3150
Practice Phone: 408-293-4489
Practice Fax: 408-293-6188

Directions to “ DR. JAN E KEARNY PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.