Mary Jo Jeffres Phd, Llc in Riverton - Clinical
Mary Jo Jeffres Phd, Llc - NPI 1962563361
Mary Jo Jeffres Phd, Llc is a Clinical in Riverton, . Mary Jo Jeffres Phd, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jo Jeffres Phd, Llc is 1962563361. The last update date is 2022-07-21.
Mary Jo Jeffres Phd, Llc's current location address is 103 N 5th St E, Riverton, . You can contact this provider via phone number 3074630890 and fax number 3074630891. The mailing address for Mary Jo Jeffres Phd, Llc is 103 N 5th St E, Riverton, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Jo Jeffres Phd, Llc |
|---|---|
| Address | 103 N 5th St E, Riverton, |
| Phone Number | 3074630890 |
| Fax Number | 3074630891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jeffres Mary Jo |
| Credentials | PHD |
| Telephone Number | 3074630890 |
NPI Number Detail
| NPI Number | 1962563361 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 103 N 5th St E |
|---|---|
| City | Riverton |
| State | (WY) |
| Post Code | 825014402 |
| Phone Number | 3074630890 |
| Fax Number | 3074630891 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 421 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121869700 | WY | -- |
Post Comment/ Review Below
What is the Mary Jo Jeffres Phd, Llc's unique identification number?
The Mary Jo Jeffres Phd, Llc has been assigned the NPI (National Provider Identifier) Number 1962563361 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 address where Mary Jo Jeffres Phd, Llc is geographically located?
The Mary Jo Jeffres Phd, Llc is physically situated at the following location: 103 N 5Th St E, Riverton, WY, 825014402.
What is the Mary Jo Jeffres Phd, Llc's area of specialization and corresponding taxonomy classification?
The Mary Jo Jeffres Phd, Llc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Mary Jo Jeffres Phd, Llc receive its 1962563361 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jo Jeffres Phd, Llc was assigned its 1962563361 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information pertaining to Mary Jo Jeffres Phd, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jo Jeffres Phd, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.