Most Relevant Information
Provider Data
| NPI Number: | 1003637307 |
| Provider Name: | MANJU PRABADARAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 220108394 |
Most Important Dates
| Enumeration Date: | 10/18/2024 |
| Last Updated: | 10/18/2024 |
Provider Practice Location
4210 TECHNOLOGY DR
FREMONT
CA
945386337
Practice Location Phone/Fax
| Phone: | 7477772791 |
| Fax: |
Provider Mailing Location
2111 ESSEX ST
BERKELEY
CA
947051814
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |