Staveley, Jennifer Jane

Staveley, Jennifer Jane is an individual health care provider with primary practice located at 39400 Paseo Padre Pkwy , Fremont CA 94538-2310. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Staveley, Jennifer Jane can be contacted via phone (510) 248-3509.

Contact Information

Primary practice address
39400 Paseo Padre Pkwy Fremont CA 94538-2310
Phone: (510) 248-3509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16178 California

Profile Details

NPI number 1205997095
LBN Legal business name Staveley, Jennifer Jane
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 3rd, 2022 - about 2 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.

Request for update

Popular Providers