Provider Demographics
NPI:1780250282
Name:DR. JENNIFER FEE PSYCHOLOGY SERVICES, INC
Entity type:Organization
Organization Name:DR. JENNIFER FEE PSYCHOLOGY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:562-760-2743
Mailing Address - Street 1:1601 DOVE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2410
Mailing Address - Country:US
Mailing Address - Phone:562-760-2743
Mailing Address - Fax:
Practice Address - Street 1:1601 DOVE ST STE 105
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2410
Practice Address - Country:US
Practice Address - Phone:562-760-2743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1932101326OtherINDIVIDUAL NPI