Provider Demographics
NPI:1285961540
Name:SEIFF, JEFFREY MITCHELL (PSYD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MITCHELL
Last Name:SEIFF
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:M
Other - Last Name:SEIFF-HARON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:4220 CALIFORNIA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1393
Mailing Address - Country:US
Mailing Address - Phone:415-845-2337
Mailing Address - Fax:
Practice Address - Street 1:4220 CALIFORNIA ST STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1393
Practice Address - Country:US
Practice Address - Phone:415-845-2337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB33201103T00000X
CAPSB33819103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent