Provider Demographics
NPI:1932676277
Name:MENDEZ, JARAH NOELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JARAH
Middle Name:NOELLE
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JARAH
Other - Middle Name:NOELLE
Other - Last Name:HARVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-0580
Mailing Address - Country:US
Mailing Address - Phone:559-386-4500
Mailing Address - Fax:559-282-5080
Practice Address - Street 1:140 C ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2929
Practice Address - Country:US
Practice Address - Phone:559-925-6000
Practice Address - Fax:559-924-3197
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical