Jennifer J. Fog is a Psychologist in Covina, California. Jennifer J. Fog practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer J. Fog is 1114944014. The last update date is 2007-07-08.
Jennifer J. Fog's current location address is 315 N 3rd Ave, Covina, California. You can contact this provider via phone number 6268592686 and fax number 6268592686. The mailing address for Jennifer J. Fog is 315 N 3rd Ave, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer J. Fog |
|---|---|
| Address | 315 N 3rd Ave, Covina, California |
| Phone Number | 6268592686 |
| Fax Number | 6268592686 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114944014 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 315 N 3rd Ave |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 917231905 |
| Phone Number | 6268592686 |
| Fax Number | 6268592686 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY6815 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer J. Fog by the Centers for Medicare & Medicaid Services?
The Jennifer J. Fog has been issued the NPI (National Provider Identifier) 1114944014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jennifer J. Fog's physical address?
The Jennifer J. Fog is physically located at 315 N 3Rd Ave, in the city of Covina, CA, with the postal code 917231905.
What is Jennifer J. Fog's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer J. Fog is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114944014 to Jennifer J. Fog?
The Jennifer J. Fog received its 1114944014 assignment from the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date were the details related to Jennifer J. Fog most recently updated or revised?
The information pertaining to Jennifer J. Fog, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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