Healthcare Provider Details

I. General information

NPI: 1831452564
Provider Name (Legal Business Name): CARA JEAN EMES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 10/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 HARVARD AVE SUITE 202
CLOVIS CA
93612-1866
US

IV. Provider business mailing address

613 HARVARD AVE SUITE 202
CLOVIS CA
93612-1866
US

V. Phone/Fax

Practice location:
  • Phone: 559-977-7342
  • Fax:
Mailing address:
  • Phone: 559-977-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number26217
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: