Nisenbaum, Jaime

Nisenbaum, Jaime is an sole proprietor health care provider with primary practice located at 711 D St Ste 201 , San Rafael CA 94901-3704. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Nisenbaum, Jaime can be contacted via phone (415) 516-0797.

Contact Information

Primary practice address
711 D St Ste 201 San Rafael CA 94901-3704
Phone: (415) 516-0797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 23623 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 23623 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 23623 California

Profile Details

NPI number 1902114523
LBN Legal business name Nisenbaum, Jaime
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2010
Last updated Sep 16th, 2010 - about 16 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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