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NPI Code Detail

MEDICARE: DR. JANET JAFFE PH.D.

MEDICARE: DR. JANET JAFFE PH.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
1103TC0700XClinical PsychologistPSY15296CA

General Provider Information

NPI Number : 1609879113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET JAFFE PH.D.
Provider Business Mailing Address
First Line : 1660 HOTEL CIR N
Second Line : STE 612
City : SAN DIEGO
State : CA
Zip : 92108-2806
Country : US
Telephone Number : 619-497-1881
Fax Number :
Provider Business Practice Location Address
First Line : 1660 HOTEL CIR N
Second Line : STE 612
City : SAN DIEGO
State : CA
Zip : 92108-2806
Country : US
Telephone Number : 619-497-1881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JANET JAFFE PH.D.” Practice Location

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