Healthcare Provider Details

I. General information

NPI: 1326734914
Provider Name (Legal Business Name): DEAR ME PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2357 RALSTON DR
SAN JOSE CA
95148-4036
US

IV. Provider business mailing address

2357 RALSTON DR
SAN JOSE CA
95148-4036
US

V. Phone/Fax

Practice location:
  • Phone: 562-600-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAN CARINA TSANG
Title or Position: CEO
Credential: LCSW
Phone: 408-601-9920