Provider Demographics
NPI:1831452564
Name:EMES, CARA JEAN (PHD)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:JEAN
Last Name:EMES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 HARVARD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1866
Mailing Address - Country:US
Mailing Address - Phone:559-977-7342
Mailing Address - Fax:
Practice Address - Street 1:613 HARVARD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1866
Practice Address - Country:US
Practice Address - Phone:559-977-7342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26217103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical