Healthcare Provider Details

I. General information

NPI: 1437744521
Provider Name (Legal Business Name): SHREYA VAISHNAV PHD, LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39737 PASEO PADRE PKWY STE A4
FREMONT CA
94538-2957
US

IV. Provider business mailing address

39737 PASEO PADRE PKWY STE A4
FREMONT CA
94538-2957
US

V. Phone/Fax

Practice location:
  • Phone: 669-241-1432
  • Fax:
Mailing address:
  • Phone: 669-241-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: