Provider Demographics
NPI:1356536726
Name:GAJDOS, DAJANA (PSYD)
Entity type:Individual
Prefix:MRS
First Name:DAJANA
Middle Name:
Last Name:GAJDOS
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 1:15951 LOS GATOS BLVD STE 6
Mailing Address - Street 2:CENTER FOR DEVELOPING MINDS
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3428
Mailing Address - Country:US
Mailing Address - Phone:408-358-1853
Mailing Address - Fax:
Practice Address - Street 1:15951 LOS GATOS BLVD STE 6
Practice Address - Street 2:CENTER FOR DEVELOPING MINDS
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3428
Practice Address - Country:US
Practice Address - Phone:408-358-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 23435103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical