Haislett, Jeanne B.
Haislett, Jeanne B. is an individual health care provider with primary practice located at 17401 Irvine Blvd Suite A, Tustin CA 92780-3038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Haislett, Jeanne B. can be contacted via phone (714) 544-2366.Contact Information
Primary practice address
17401 Irvine Blvd Suite A
Tustin CA 92780-3038
Phone: (714) 544-2366
Fax: (562) 431-1138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 12937 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 12937 | California |
Profile Details
| NPI number | 1114974458 |
|---|---|
| LBN Legal business name | Haislett, Jeanne B. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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