Ayres, Jennifer Lyn

Ayres, Jennifer Lyn is an individual health care provider with primary practice located at 1313 Red River St Suite 100, Austin TX 78701-1943. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ayres, Jennifer Lyn can be contacted via phone (512) 324-8611.

Contact Information

Primary practice address
1313 Red River St Suite 100 Austin TX 78701-1943
Phone: (512) 324-8611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 18763 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31723 Texas

Profile Details

NPI number 1659495653
LBN Legal business name Ayres, Jennifer Lyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2007
Last updated Apr 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659495653 NPPES
Texas MEDICAID 191430101

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