Phillips, Jennifer Marie

Phillips, Jennifer Marie is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Phillips, Jennifer Marie can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY18970 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY18970 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18970 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8560 Massachusetts

Profile Details

NPI number 1023079266
LBN Legal business name Phillips, Jennifer Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 2nd, 2024 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023079266 NPPES
Massachusetts Other 8560 LICENSE
Massachusetts Other 18970 LICENSE

Popular Providers