Haislett, Jeanne B.

Haislett, Jeanne B. is an individual health care provider with primary practice located at 17401 Irvine Blvd Suite A, Tustin CA 92780-3038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Haislett, Jeanne B. can be contacted via phone (714) 544-2366.

Contact Information

Primary practice address
17401 Irvine Blvd Suite A Tustin CA 92780-3038
Phone: (714) 544-2366
Fax: (562) 431-1138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 12937 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 12937 California

Profile Details

NPI number 1114974458
LBN Legal business name Haislett, Jeanne B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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