Provider Demographics
NPI:1467574012
Name:SINGLETON-DORAN, JEANNE (PT)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:SINGLETON-DORAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:SINGLETON-DORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:32840 PACIFIC COAST HWY.
Mailing Address - Street 2:MONARCH BAY PLAZA, SUITE P
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3440
Mailing Address - Country:US
Mailing Address - Phone:949-661-8886
Mailing Address - Fax:949-661-5662
Practice Address - Street 1:32840 PACIFIC COAST HWY.
Practice Address - Street 2:MONARCH BAY PLAZA, SUITE P
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-3440
Practice Address - Country:US
Practice Address - Phone:949-661-8886
Practice Address - Fax:949-661-5662
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT9494OtherSTATE OF CA DEPT OF CONSU