MEDICARE: JESSICA HASKINS 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	PSY24417	CA

General Provider Information

NPI Number	:	1487819777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HASKINS PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 1538
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95763-1538
Country	:	US
Telephone Number	:	916-882-5110
Fax Number	:

Provider Business Practice Location Address
First Line	:	5170 GOLDEN FOOTHILL PKWY STE 142
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9608
Country	:	US
Telephone Number	:	916-882-5110
Fax Number	:

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

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	08/19/2025

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