Provider Demographics
NPI:1134341902
Name:DALEY, JEAN PALMER (PH-D, MFT)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:PALMER
Last Name:DALEY
Suffix:
Gender:F
Credentials:PH-D, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 STOCKDALE HWY
Mailing Address - Street 2:STE. 202
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3620
Mailing Address - Country:US
Mailing Address - Phone:661-631-8789
Mailing Address - Fax:661-631-8788
Practice Address - Street 1:22 W MICHELTORENA ST
Practice Address - Street 2:STE. A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6522
Practice Address - Country:US
Practice Address - Phone:661-631-8789
Practice Address - Fax:661-631-8788
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC20282106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist