Provider Demographics
NPI:1831478866
Name:POUNCEY, JEFFREY AUTHOR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:AUTHOR
Last Name:POUNCEY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GEORGIA ST
Mailing Address - Street 2:304
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-5946
Mailing Address - Country:US
Mailing Address - Phone:707-373-0392
Mailing Address - Fax:
Practice Address - Street 1:301 GEORGIA ST
Practice Address - Street 2:304
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5946
Practice Address - Country:US
Practice Address - Phone:707-373-0392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service