Healthcare Provider Details

I. General information

NPI: 1447994256
Provider Name (Legal Business Name): SHEENA DHILLON-DHINDSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 GREENOAKS WAY
HAYWARD CA
94542-1442
US

IV. Provider business mailing address

4103 GREENOAKS WAY
HAYWARD CA
94542-1442
US

V. Phone/Fax

Practice location:
  • Phone: 510-789-8097
  • Fax:
Mailing address:
  • Phone: 510-789-8097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT155170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: