Individual
JENNIFER J. FOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 N 3RD AVE, SUITE 300, COVINA, CA 91723-1905
(626) 859-2686
(626) 859-2686
Mailing address
315 N 3RD AVE, SUITE 300, COVINA, CA 91723-1905
(626) 859-2686
(626) 859-2686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6815
CA
Other
Enumeration date
07/16/2006
Last updated
05/17/2026
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