Jennifer Lynn Defeo in Bend - Psychologist
Jennifer Lynn Defeo - NPI 1205056686
Jennifer Lynn Defeo is a Psychologist in Bend, Oregon. Jennifer Lynn Defeo practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer Lynn Defeo is 1205056686. The last update date is 2022-10-31.
Jennifer Lynn Defeo's current location address is 20644 Rolen Ave, Bend, Oregon. You can contact this provider via phone number 9494843828. The mailing address for Jennifer Lynn Defeo is 20644 Rolen Ave, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Defeo |
|---|---|
| Address | 20644 Rolen Ave, Bend, Oregon |
| Phone Number | 9494843828 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205056686 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2022-10-31 |
Provider Mailing Address Detail
| Address | 20644 Rolen Ave |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977023857 |
| Phone Number | 9494843828 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 26152 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Jennifer Lynn Defeo's unique identification number?
The Jennifer Lynn Defeo has been assigned the NPI (National Provider Identifier) Number 1205056686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jennifer Lynn Defeo's facilities are situated?
The facilities of Jennifer Lynn Defeo are physically located at the following address: 20644 Rolen Ave, Bend, OR, 977023857.
What is Jennifer Lynn Defeo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Lynn Defeo is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date was the 1205056686 assigned to Jennifer Lynn Defeo?
The Jennifer Lynn Defeo was issued its 1205056686 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jennifer Lynn Defeo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Lynn Defeo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-31.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC