Individual provider · NPI-1

Dr. Jeannine Lemare Calaba, Psy.D.

Psychologist, Clinical · Valley Village, CA

NPI number1780693887
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1780693887
Entity type
Individual (NPI-1)
Name
Dr. Jeannine Lemare Calaba
Credential
Psy.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2006
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY13961CAYes

Practice location

4820 Gentry Ave
Valley Village, CA 91607-3711

Phone 818-763-3361

Mailing address

4820 Gentry Ave
Valley Village, CA 91607-3711

Phone 818-763-3361

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