Vanderburg, Jennifer Rose

Vanderburg, Jennifer Rose is an sole proprietor health care provider with primary practice located at 5762 Bolsa Ave Suite 107, Huntington Beach CA 92649-1172. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vanderburg, Jennifer Rose can be contacted via phone (562) 804-5522.

Contact Information

Primary practice address
5762 Bolsa Ave Suite 107 Huntington Beach CA 92649-1172
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 17308 California

Profile Details

NPI number 1871695866
LBN Legal business name Vanderburg, Jennifer Rose
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 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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