Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE GREY ETEMAD, M.D.
Active Sole ProprietorDR. JACQUELINE GREY ETEMAD, M.D. is a Psychiatric Neurology healthcare provider located in TIBURON, California. NPI 1396032363 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · TIBURON, CA
Registration Details
- NPI Number
- 1396032363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2011 (15.17128965431 yrs)
- Last Updated
- Jun 29, 2011
- License
-
A21746 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 VENADO DRTIBURON, CA, 949201634Browse CA providers · Browse ZIP 94920
- Phone
- 4154352776
- Fax
- 4154359415
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
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.