Park-Way, Jennifer

Park-Way, Jennifer is an individual health care provider with primary practice located at 415 N San Mateo Dr Suite #3, San Mateo CA 94401-2493. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Park-Way, Jennifer can be contacted via phone (650) 569-0120.

Contact Information

Primary practice address
415 N San Mateo Dr Suite #3 San Mateo CA 94401-2493
Phone: (650) 569-0120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22238 California

Profile Details

NPI number 1558759795
LBN Legal business name Park-Way, Jennifer
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2014
Last updated Nov 8th, 2016 - about 10 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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