Individual
DR. JEANNE MARY LICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1439 E CHAPMAN AVE, ORANGE, CA 92866-2228
(714) 633-6237
(714) 990-1959
Mailing address
1439 E CHAPMAN AVE, ORANGE, CA 92866-2228
(714) 633-6237
(714) 990-1959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135513FC
PREFERRED CARE
CA
01
—
542200PL141650
BLUE CROSS BLUE SHIELD
CA
01
—
61-37787
US BEHAVIORAL HEALTH
CA
01
—
OPL141650
BLUE SHIELD
CA
01
—
PSY14165
PSYCHOLOGY LICENSE
CA
Enumeration date
04/07/2006
Last updated
04/09/2008
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