| Doctor Name: | DR. JAQUELINE KIEFER |
| NPI Number: | 1164562757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY19204 |
| Business Practice Address: | 243 N Highway 101 Ste 16 Solana Beach, CA - 920751180 |
| Business Phone Number: | 8586927892 |
| Business Fax Number: | |
| Mailing Address: | 243 N Highway 101, Ste 16 SOLANA BEACH |
| State: | CA |
| Postal Code: | 920751180 |
| Phone Number: | 8586927892 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PSY19204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |