Provider Demographics
NPI:1679633366
Name:KUHN, JENNIFER CHANTAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CHANTAL
Last Name:KUHN
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 1:15814 S. WINCHESTER BLVD.
Mailing Address - Street 2:SUITE #105
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030
Mailing Address - Country:US
Mailing Address - Phone:408-402-2066
Mailing Address - Fax:
Practice Address - Street 1:15814 S. WINCHESTER BLVD.
Practice Address - Street 2:SUITE #105
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030
Practice Address - Country:US
Practice Address - Phone:408-402-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22151103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist