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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESS H GHANNAM, PHD

Active Sole Proprietor

DR. JESS H GHANNAM, PHD is a Clinical Psychologist healthcare provider located in EMERYVILLE, California. NPI 1285790154 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · EMERYVILLE, CA

Registration Details

NPI Number
1285790154
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2006 (19.586312877613 yrs)
Last Updated
Sep 5, 2012
Licenses
PSY9261 (CA)
PSY9261 (CA)
PSY9261 (CA)
PSY9261 (CA)
PSY9261 (CA)
Sole Proprietor
Yes

Practice Information

Address
1335 STANFORD
EMERYVILLE, CA, 946082536
Browse CA providers · Browse ZIP 94608
Phone
5106475101
Fax
5106475105
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Forensic Psychologist
Additional Specialty
Geriatric Psychologist

Other Clinical Psychologist Providers in EMERYVILLE, CA

Name Credential NPI
DR. PHILIP MARTIN TAKAKJIAN PH.D. 1225052889
DR. EUGENE HIGHTOWER PHD, LP 1447314182
DR. SOHYILA DAVANI PSY.D. 1003936154
DR. LINDA JAMES MYERS PH.D. 1174744502
DR. JOHN SAUVE PSY.D. 1821201757
AARON M FETT PHD, LP 1932352424
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.