Jennifer Spencer Phd Hspp Pc

LBN: Jennifer Spencer Phd Hspp Pc
Jennifer Spencer Phd Hspp Pc is an health care organization with primary practice located at 482 S Landmark Ave , Bloomington IN 47403-5000. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jennifer Spencer Phd Hspp Pc can be contacted via phone (812) 333-8474, or through Spencer, Jennifer Michael via phone (812) 333-8474.

Contact Information

Primary practice address
482 S Landmark Ave Bloomington IN 47403-5000
Phone: (812) 333-8474
Fax: (812) 961-3804
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Jennifer Michael PHD HSPP
Phone: (812) 333-8474

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 20041405 Indiana

Profile Details

NPI number 1932331345
LBN Legal business name Jennifer Spencer Phd Hspp Pc
DBA Doing business as
Authorized official Spencer, Jennifer Michael PHD HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2009
Last updated Oct 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932331345 NPPES
Indiana MEDICAID 200298330

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