Laurie Anne Jensen in Crescent City - Clinical
Laurie Anne Jensen - NPI 1225248370
Laurie Anne Jensen is a Clinical in Crescent City, California. Laurie Anne Jensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie Anne Jensen is 1225248370. The last update date is 2020-04-22.
Laurie Anne Jensen's current location address is 5905 Lake Earl Dr, Crescent City, California. You can contact this provider via phone number 7074651000 and fax number 7074659107. The mailing address for Laurie Anne Jensen is 5905 Lake Earl Dr, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Anne Jensen |
|---|---|
| Address | 5905 Lake Earl Dr, Crescent City, California |
| Phone Number | 7074651000 |
| Fax Number | 7074659107 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1225248370 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 5905 Lake Earl Dr |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955320001 |
| Phone Number | 7074651000 |
| Fax Number | 7074659107 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY19054 |
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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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What is the unique 10-digit identification code issued to Laurie Anne Jensen by the Centers for Medicare & Medicaid Services?
The Laurie Anne Jensen has been assigned the NPI (National Provider Identifier) 1225248370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Laurie Anne Jensen's physical address?
The Laurie Anne Jensen is physically located at 5905 Lake Earl Dr, in the city of Crescent City, CA, with the postal code 955320001.
What is the Laurie Anne Jensen's area of specialization and corresponding taxonomy classification?
The Laurie Anne Jensen'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 Centers for Medicare & Medicaid Services assign the 1225248370 to Laurie Anne Jensen?
The Centers for Medicare & Medicaid Services assigned the 1225248370 to Laurie Anne Jensen on 2007-05-23.
As of what date was the information regarding Laurie Anne Jensen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laurie Anne Jensen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC