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

Jonathan Tennison, EDS, NCSP, LEP

Individual provider School Psychologist · NPI 1063288561

Jonathan Tennison, EDS, NCSP, LEP is a School Psychologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

4192 Piedmont Ave
Oakland, CA 94611-5133
Phone: (512) 565-0187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 4358 (CA)

Record details

NPI number1063288561
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS , NCSP , LEP
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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