Jensen, Brian Matthew
Jensen, Brian Matthew is an individual health care provider with primary practice located at 150 Valpreda Road , San Marcos CA 92069. He 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 his primary health care specialty. Jensen, Brian Matthew can be contacted via phone (760) 736-6700.Contact Information
Primary practice address
150 Valpreda Road
San Marcos CA 92069
Phone: (760) 736-6700
Fax: (760) 736-8740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 67249902501 | Utah |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY26041 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY26041 | California |
Profile Details
NPI number | 1518138049 |
---|---|
LBN Legal business name | Jensen, Brian Matthew |
Credentials | LICENSEDPSYCHOLOGIST |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2008 |
Last updated | Nov 3rd, 2014 - about 10 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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