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NPI 1801918214

NPI 1801918214 : JENNIFER HASE RICE PH.D. : SAN ANSELMO, CA

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General NPI Number Information
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    NPI Number           |    1801918214
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER HASE RICE PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/05/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    412 RED HILL AVE SUITE 5
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    City                 |    SAN ANSELMO
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    State                |    CA
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    Zip                  |    94960-2450
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    Country              |    US
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    Telephone            |    415-370-1788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 TOMAHAWK DR 
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    City                 |    SAN ANSELMO
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    State                |    CA
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    Zip                  |    94960-1636
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    Country              |    US
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    Telephone            |    415-370-1788
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    Fax                  |    415-454-9572
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    PSY15202
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    License Number State |    CA
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