Provider Demographics
NPI:1336302215
Name:DOYING, JENNIFER MAY (MA LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MAY
Last Name:DOYING
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4327
Mailing Address - Country:US
Mailing Address - Phone:510-386-6633
Mailing Address - Fax:
Practice Address - Street 1:1615 2ND ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4327
Practice Address - Country:US
Practice Address - Phone:510-386-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist