DR. JEFFREY DERFLINGER, PH.D. - NPI NUMBER 1023106754

Summary

Provider Name: DR. JEFFREY DERFLINGER, PH.D.

NPI Number: 1023106754

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Address:
746 E CHAPMAN AVE
ORANGE, CA
ZIP 92866

Phone Number: (949) 725-7156



Detailed Information

DR. Jeffrey Derflinger, PH.D. is a clinical psychologist in Orange, CA. The assigned NPI number for this provider is 1023106754 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

746 E CHAPMAN AVE
ORANGE, CA
ZIP 92866-621
Phone: (949) 725-7156

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical PSY16346 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1023106754
2 Entity Type Code 1
3 Provider Last Name Legal Name DERFLINGER
4 Provider First Name JEFFREY
5 Provider Name Prefix Text DR.
6 Provider Credential Text PH.D.
7 Provider First Line Business Practice Location Address 746 E CHAPMAN AVE
8 Provider Business Practice Location Address City Name ORANGE
9 Provider Business Practice Location Address State Name CA
10 Provider Business Practice Location Address Postal Code 928661621
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9497257156
13 Provider Enumeration Date 10/10/2006
14 Last Update Date 7/8/2007
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 103TC0700X
17 Provider License Number 1 PSY16346
18 Provider License Number State Code 1 CA
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.