DR. JENNIFER DORMER LEE (NPI# 1770935173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770935173 |
Entity Type | Individual |
Full Name | DR. JENNIFER DORMER LEE |
Credential | PSY.D. |
Practice Address |
1050 Duncan Ave Ste L Manhattan Beach CA 90266-6752 |
Practice Telephone | 3104211124 |
Mailing Telephone | 3104211124 |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
27-1859432 | CA | Behavioral Health & Social Service Providers |
Street Address |
1050 DUNCAN AVE STE L |
City | MANHATTAN BEACH |
State | CA |
Zip Code | 90266-6752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
Find all providers in zip 90266 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659981256 | Melody Moore | Psychologist | 417 33rd St, Manhattan Beach, CA 90266-3814 | 2020-08-07 |
1346398641 | Martha Jean Hendricks | Psychologist | 1721 Artesia Blvd, Suite A, Manhattan Beach, CA 90266-7158 | 2007-01-05 |
1346316197 | Thomas E Brown | Psychologist | 500 S Sepulveda Blvd Ste 218, Manhattan Beach, CA 90266-6976 | 2006-11-24 |
1992883037 | Vivian Fernandez Credidio | Psychologist | 806 Manhattan Beach Bl, Ste 207, Manhattan Beach, CA 90266 | 2006-11-02 |
1194819797 | Diane Renee Kelley | Psychologist | 1021 N Sepulveda Blvd, Suite H, Manhattan Beach, CA 90266-5965 | 2006-10-03 |
1245341650 | Muriel S Savikas | Psychologist | 868 Manhattan Beach Blvd, Suite 3, Manhattan Beach, CA 90266-4962 | 2006-08-31 |
1164807400 | Amie L Callon | Psychologist | 2100 N Sepulveda Blvd, Suite 6, Manhattan Beach, CA 90266-2948 | 2015-07-28 |
1821220161 | Tiffany Kathleen Herbert | Psychologist | 1600 Rosecrans Ave, 4th Floor, Manhattan Beach, CA 90266-3708 | 2009-08-20 |
1134375983 | Psychological Wellness | Psychologist | 806 Manhattan Beach Blvd, Ste. 207, Manhattan Beach, CA 90266-4935 | 2008-08-12 |
1619132503 | Audrey Hill-lindsay | Psychologist | 1230 Rosecrans Ave, Ste 300, Manhattan Beach, CA 90266-2494 | 2008-07-21 |
Find all providers in MANHATTAN BEACH |
City | MANHATTAN BEACH |
Zip Code | 90266 |
Please comment or provide details below to improve the information on DR. JENNIFER DORMER LEE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.