Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Jebananthan

Individual provider Clinical Psychologist · NPI 1912451766

Heather Jebananthan is a Clinical Psychologist in Represa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

100 Prison Rd
Represa, CA 95671-3000
Phone: (916) 985-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY31844 (CA)

Record details

NPI number1912451766
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2016
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address100 Prison Rd, Represa, CA 95671-3000

Other providers in Represa