MEDICARE: DR. JENNIFER ROSE VANDERBURG PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 17308	CA

General Provider Information

NPI Number	:	1871695866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ROSE VANDERBURG PSY.D

Provider Business Mailing Address
First Line	:	PO BOX 15603
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-0603
Country	:	US
Telephone Number	:	562-804-5522
Fax Number	:

Provider Business Practice Location Address
First Line	:	5762 BOLSA AVE
Second Line	:	SUITE 107
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1172
Country	:	US
Telephone Number	:	562-804-5522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1770442758 — JENNA YEAMAN
Practice Location Address:

5762 BOLSA AVE STE 100
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-292-2322
Practice Fax:

1184651887 — CAROLJEAN MCLEAN N.P.
Practice Location Address:

5762 BOLSA AVE , SUITE 107
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-898-0362
Practice Fax: 714-893-3267

1952335507 — GINGER CLARK PH.D.
Practice Location Address:

5762 BOLSA AVE , SUITE 107
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-898-0362
Practice Fax: 714-893-3267

1952493959 — MS. COLEEN O'TOOLE MFT
Practice Location Address:

5762 BOLSA AVE , SUITE 107
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-898-0362
Practice Fax: 714-893-3267

1518053628 — NASRIN VOSSOUGH MFT
Practice Location Address:

5762 BOLSA AVE STE 102
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-898-9858
Practice Fax: 714-893-3867

1154410066 — MRS. BARBARA M. BARBICK LCSW
Practice Location Address:

5762 BOLSA AVE STE 107
HUNTINGTON BEACH, CA
92649-1172

Practice Phone: 714-490-7080
Practice Fax:

Directions to “ DR. JENNIFER ROSE VANDERBURG PSY.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.