Jennifer Jane Staveley in Fremont - Clinical

Jennifer Jane Staveley - NPI 1205997095

Jennifer Jane Staveley is a Clinical in Fremont, California. Jennifer Jane Staveley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Jane Staveley is 1205997095. The last update date is 2022-01-03.

Jennifer Jane Staveley's current location address is 39400 Paseo Padre Pkwy, Fremont, California. You can contact this provider via phone number 5102483509. The mailing address for Jennifer Jane Staveley is 39400 Paseo Padre Pkwy, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Jane Staveley
Address 39400 Paseo Padre Pkwy, Fremont, California
Phone Number 5102483509
Fax Number
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1205997095
Provider Enumeration Date 2006-12-13
Last Updated Date 2022-01-03

Provider Mailing Address Detail

Address 39400 Paseo Padre Pkwy
City Fremont
State California (CA)
Post Code 945382310
Phone Number 5102483509
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY16178
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Jennifer Jane Staveley

What is the unique identifier code issued to Jennifer Jane Staveley by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Jane Staveley has been assigned the NPI (National Provider Identifier) 1205997095. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jennifer Jane Staveley is physically located?

The Jennifer Jane Staveley is situated at the following address: 39400 Paseo Padre Pkwy, Fremont, CA 945382310.

What is Jennifer Jane Staveley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Jane Staveley is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205997095 to Jennifer Jane Staveley?

The Jennifer Jane Staveley received its 1205997095 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date were the details pertaining to Jennifer Jane Staveley last refreshed?

The information related to the Jennifer Jane Staveley, including its address, specialty, and other relevant details, was last updated on 2022-01-03.

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