Individual
DR. DORJE MORGAN JENNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
424 3RD ST # 72001, DAVIS, CA 95616-4519
(530) 341-3103
Mailing address
PO BOX 72001, DAVIS, CA 95617-6001
(530) 341-3103
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY22014
CA
103TC0700X
Clinical Psychologist
Primary
PSY22014
CA
Other
Enumeration date
10/19/2005
Last updated
09/27/2022
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