MEDICARE: DR. JANE SKOYEN PHD

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	103T00000X	Psychologist	28668	CA

General Provider Information

NPI Number	:	1376061382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE SKOYEN PHD

Provider Business Mailing Address
First Line	:	860 THORNHILL DR
Second Line	:
City	:	BROADMOOR VLG
State	:	CA
Zip	:	94015-3648
Country	:	US
Telephone Number	:	650-279-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 NEW MONTGOMERY ST STE 512
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-3431
Country	:	US
Telephone Number	:	415-570-4924
Fax Number	:

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

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	08/30/2017

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Directions to “ DR. JANE SKOYEN PHD” Practice Location

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