Fog, Jennifer J.
Fog, Jennifer J. is an individual health care provider with primary practice located at 315 N 3Rd Ave Suite 300, Covina CA 91723-1905. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fog, Jennifer J. can be contacted via phone (626) 859-2686.Contact Information
Primary practice address
315 N 3Rd Ave Suite 300
Covina CA 91723-1905
Phone: (626) 859-2686
Fax: (626) 859-2686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY6815 | California |
Profile Details
| NPI number | 1114944014 |
|---|---|
| LBN Legal business name | Fog, Jennifer J. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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