| Doctor Name: | JEFFREY FRANZ TEUBER |
| NPI Number: | 1003868555 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PSY11048 |
| Business Practice Address: | 10333 El Camino Real Atascadero, CA - 934237001 |
| Business Phone Number: | 8054682000 |
| Business Fax Number: | 8054666011 |
| Mailing Address: | 1600 9th St, Room 205 Mailstop 2-3 SACRAMENTO |
| State: | CA |
| Postal Code: | 958146414 |
| Phone Number: | 9166542431 |
| Fax Number: | 9166543186 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY11048 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |