Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE JACKNOW
Active Sole ProprietorDALE JACKNOW is a Developmental-Behavioral Pediatrics healthcare provider located in SAN MATEO, California. NPI 1194959569 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · SAN MATEO, CA
Registration Details
- NPI Number
- 1194959569
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2009 (17.27646501335 yrs)
- Last Updated
- May 13, 2009
- License
-
657898 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 S SAN MATEO DRSUITE 208SAN MATEO, CA, 944013819Browse CA providers · Browse ZIP 94401
- Phone
- 6503423137
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.