| Doctor Name: | MS. JEANE HAINING |
| NPI Number: | 1184885279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY9988 |
| Business Practice Address: | 900 Quebec Ave Corcoran, CA - 932129715 |
| Business Phone Number: | 5599927100 |
| Business Fax Number: | |
| Mailing Address: | 8201 Canoga Ave, P.o. Box 10161 CANOGA PARK |
| State: | CA |
| Postal Code: | 913044106 |
| Phone Number: | 8185187931 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY9988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |