Jacqueline Delisa Friar, PHD - Psychologist in Carson, CA

Jacqueline Delisa Friar, PHD is a Psychologist - Cognitive & Behavioral based in Carson, California. Jacqueline Delisa Friar is licensed to practice in California (license number PSB94026717) and her current practice location is 21207 Avalon Blvd Spc D213, Carson, California. She can be reached at her office (for appointments etc.) via phone at (310) 953-6811.

NPI number for Jacqueline Delisa Friar is 1992406771 and her current mailing address is 21207 Avalon Blvd Spc D213, Carson, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992406771.

Contact Information

Jacqueline Delisa Friar, PHD
21207 Avalon Blvd Spc D213,
Carson, CA 90745-2256
(310) 953-6811
Not Available



Healthcare Provider's Profile

Full NameJacqueline Delisa Friar
GenderFemale
SpecialityPsychologist - Cognitive & Behavioral
Location21207 Avalon Blvd Spc D213, Carson, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992406771
  • Provider Enumeration Date: 03/17/2023
  • Last Update Date: 03/17/2023

Medical Identifiers

Medical identifiers for Jacqueline Delisa Friar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992406771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral PSB94026717 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Delisa Friar is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Delisa Friar, PHD
21207 Avalon Blvd Spc D213,
Carson, CA 90745-2256

Ph: (310) 953-6811
Jacqueline Delisa Friar, PHD
21207 Avalon Blvd Spc D213,
Carson, CA 90745-2256

Ph: (310) 953-6811

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› Verified 5 days ago


Psychologist in Carson, CA

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