Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY JIMENEZ, RADT-1
Active Sole ProprietorDESTINY JIMENEZ, RADT-1 is a Rehabilitation Psychologist healthcare provider located in SAN RAFAEL, California. NPI 1679167506 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Psychologist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1679167506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2021 (5.2874788855581 yrs)
- Last Updated
- Feb 22, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 2ND ST STE 104SAN RAFAEL, CA, 949012701Browse CA providers · Browse ZIP 94901
- Phone
- 4154592395
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
- Additional Specialty
- Rehabilitation Psychologist
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.