Judith Lyn Jensen is a Clinical in Fullerton, California. Judith Lyn Jensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Lyn Jensen is 1679562508. The last update date is 2007-07-08.
Judith Lyn Jensen's current location address is 285 Imperial Hwy, Fullerton, California. You can contact this provider via phone number 7145789330 and fax number 7145789339. The mailing address for Judith Lyn Jensen is 285 Imperial Hwy, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Lyn Jensen |
|---|---|
| Address | 285 Imperial Hwy, Fullerton, California |
| Phone Number | 7145789330 |
| Fax Number | 7145789339 |
| Sole Proprietor | X |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1679562508 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 285 Imperial Hwy |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928351048 |
| Phone Number | 7145789330 |
| Fax Number | 7145789339 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY6450 |
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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 identifier code issued to Judith Lyn Jensen by the Centers for Medicare & Medicaid Services?
The Judith Lyn Jensen has been assigned the NPI (National Provider Identifier) 1679562508 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Judith Lyn Jensen is geographically located?
The Judith Lyn Jensen is physically situated at the following location: 285 Imperial Hwy, Fullerton, CA, 928351048.
What is Judith Lyn Jensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Lyn Jensen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Judith Lyn Jensen receive its 1679562508 assignment from the Centers for Medicare & Medicaid Services?
The Judith Lyn Jensen was assigned its 1679562508 by the Centers for Medicare & Medicaid Services on 2005-10-13.
When was the information pertaining to Judith Lyn Jensen most recently updated or revised?
The details related to Judith Lyn Jensen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH