Provider Demographics
NPI:1336328269
Name:TEMBE, MEGHANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEGHANA
Middle Name:
Last Name:TEMBE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 W FREMONT AVE
Mailing Address - Street 2:SUITE 9C
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4200
Mailing Address - Country:US
Mailing Address - Phone:650-224-1731
Mailing Address - Fax:
Practice Address - Street 1:690 W FREMONT AVE
Practice Address - Street 2:SUITE 9C
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4200
Practice Address - Country:US
Practice Address - Phone:650-224-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-28
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003762103TC0700X
CAPSY25494103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical