Gagne', Jennifer Linn

Gagne', Jennifer Linn is an individual health care provider with primary practice located at 4515 Premier Dr Ste 402A , High Point NC 27265-8356. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gagne', Jennifer Linn can be contacted via phone (336) 702-1255.

Contact Information

Primary practice address
4515 Premier Dr Ste 402A High Point NC 27265-8356
Phone: (336) 702-1255
Fax: (336) 802-2201
Website:
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Health care specialties

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

Profile Details

NPI number 1033420229
LBN Legal business name Gagne', Jennifer Linn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Dec 16th, 2019 - about 5 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 1033420229 NPPES
North Carolina MEDICAID 6001225

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