Individual ProviderJeanne B. HaislettPsychologistBehavioral Health & Social Service ProvidersPractice Address17401 Irvine Blvd, Suite A, Tustin, CA 92780-3038(714) 544-2366PECOS EnrollmentBased on the most recent information from CMS, provider Jeanne B. Haislett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1114974458Provider TypeIndividualFull NameHaislett, Jeanne B.TitleDr.CredentialPH.D.GenderFemaleEnumeration Date5/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address17401 Irvine Blvd, Suite A, Tustin, CA 92780-3038Phone(714) 544-2366Fax(562) 431-1138Mailing LocationMailing AddressPO Box 3640, Seal Beach, CA 90740-7640Phone(714) 544-2366Fax(562) 431-1138Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY 12937CaliforniaCode103TC2200XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY 12937California