Gentry, Jeri
Gentry, Jeri is an individual health care provider with primary practice located at 2620 N 140Th Ave , Goodyear AZ 85395-2437. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gentry, Jeri can be contacted via phone (623) 536-7956.Contact Information
Primary practice address
2620 N 140Th Ave
Goodyear AZ 85395-2437
Phone: (623) 536-7956
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY-005288 | Arizona |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY-005288 | Arizona |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY-005288 | Arizona |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-005288 | Arizona |
Profile Details
NPI number | 1134470271 |
---|---|
LBN Legal business name | Gentry, Jeri |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2012 |
Last updated | Mar 17th, 2022 - about 3 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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