MEDICARE: DR. JENNIFER ROONEY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC2200X	Clinical Child & Adolescent Psychologist
2	103TB0200X	Cognitive & Behavioral Psychologist
3	103TF0000X	Family Psychologist
4	103TP2701X	Group Psychotherapy Psychologist
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649338542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ROONEY

Provider Business Mailing Address
First Line	:	1814 FRANKLIN ST
Second Line	:	STE. 400
City	:	OAKLAND
State	:	CA
Zip	:	94612-3487
Country	:	US
Telephone Number	:	510-318-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 10TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-2304
Country	:	US
Telephone Number	:	415-564-2310
Fax Number	:

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	12/22/2011

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Directions to “ DR. JENNIFER ROONEY ” Practice Location

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