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Contact Information

JENNIFER J BASS, LPT
2080 S E ST
SAN BERNARDINO, CA92408-2773
 Phone: 909-388-9191
 Fax: 909-388-9195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for JENNIFER J BASS · (Female)

NPI Number 1750053187
Status Active
Credentials LPT
Entity Individual
Enumeration date 10/04/2021
Last updated 10/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PT32649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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