Provider Demographics
NPI:1790805737
Name:SINGER, JENNIE KAUFMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIE
Middle Name:KAUFMAN
Last Name:SINGER
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 1:1411 W COVELL BLVD
Mailing Address - Street 2:STE. 106 PMB# 216
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-5934
Mailing Address - Country:US
Mailing Address - Phone:530-220-3724
Mailing Address - Fax:530-297-6419
Practice Address - Street 1:163 2ND ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3316
Practice Address - Country:US
Practice Address - Phone:530-220-3724
Practice Address - Fax:530-297-6419
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health