Provider Demographics
NPI:1992166979
Name:JENNIFER GARBARINO, PH.D.
Entity type:Organization
Organization Name:JENNIFER GARBARINO, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:GARBARINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:831-236-2516
Mailing Address - Street 1:26621 CARMEL CENTER PL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8657
Mailing Address - Country:US
Mailing Address - Phone:831-236-2516
Mailing Address - Fax:831-626-4466
Practice Address - Street 1:26621 CARMEL CENTER PL
Practice Address - Street 2:SUITE 202
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8657
Practice Address - Country:US
Practice Address - Phone:831-236-2516
Practice Address - Fax:831-626-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17615251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health