Provider Demographics
NPI:1164622700
Name:JAYNES-BELL, CHRISTINE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:E
Last Name:JAYNES-BELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 VISTA DEL MAR
Mailing Address - Street 2:STE. C
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5733
Mailing Address - Country:US
Mailing Address - Phone:310-316-2116
Mailing Address - Fax:310-316-7760
Practice Address - Street 1:231 VISTA DEL MAR
Practice Address - Street 2:STE. C
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5733
Practice Address - Country:US
Practice Address - Phone:310-316-2116
Practice Address - Fax:310-316-7760
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 16671103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist