Jenessa Taengkaew

NPI 1245628585 · on the registry since 2015

Practice

Address: 1761 Hotel Cir S Ste 111
San Diego, CA 92108
Phone: (951) 813-4034
Fax: (951) 813-4035
Organisation at this address: Glen F Pastores
Promax Hospice Group
Child Therapy San Diego
Behavior Support For Autism Inc
Sarah Nunnink Phd Psychology Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California