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
Phone: (562) 804-5522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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