Provider Demographics
NPI:1003471129
Name:ROYER, JENNIFER LANGSDORF (LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LANGSDORF
Last Name:ROYER
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ALMOND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-2206
Mailing Address - Country:US
Mailing Address - Phone:650-301-2327
Mailing Address - Fax:
Practice Address - Street 1:1299 BRYANT AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4527
Practice Address - Country:US
Practice Address - Phone:650-940-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA96200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist