Provider Demographics
NPI:1942840046
Name:JUNIPER PSYCHOLOGY GROUP, PC
Entity Type:Organization
Organization Name:JUNIPER PSYCHOLOGY GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-502-6532
Mailing Address - Street 1:15814 WINCHESTER BLVD.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15814 WINCHESTER BLVD.
Practice Address - Street 2:SUITE 105
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030
Practice Address - Country:US
Practice Address - Phone:408-502-6532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty