Bissett, Jennifer Lynn

Bissett, Jennifer Lynn is an individual health care provider with primary practice located at 216 N Michigan Ave Suite 585, League City TX 77573-2431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bissett, Jennifer Lynn can be contacted via phone (281) 332-5100.

Contact Information

Primary practice address
216 N Michigan Ave Suite 585 League City TX 77573-2431
Phone: (281) 332-5100
Fax: (281) 332-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3-2445 Texas

Profile Details

NPI number 1376560359
LBN Legal business name Bissett, Jennifer Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Sep 9th, 2008 - about 16 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 1376560359 NPPES
Texas Other 614295 VALUEOPTIONS
Texas MEDICAID 176347603 VALUEOPTIONS
Texas Other 8G0983 VALUEOPTIONS
Texas Other 87499A VALUEOPTIONS

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