Christeson, Jennifer Lynn

Christeson, Jennifer Lynn is an individual health care provider with primary practice located at 6944 W Forest Home Ave , Greenfield WI 53220-2917. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Christeson, Jennifer Lynn can be contacted via phone (262) 719-3824.

Contact Information

Primary practice address
6944 W Forest Home Ave Greenfield WI 53220-2917
Phone: (262) 719-3824
Fax: (414) 321-8588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2431057 Wisconsin

Profile Details

NPI number 1437146222
LBN Legal business name Christeson, Jennifer Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 2007 - about 17 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 1437146222 NPPES
Wisconsin MEDICAID 39140200

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