Jergerian, Jennifer R
Jergerian, Jennifer R is an individual health care provider with primary practice located at 4601 Corbett Dr , Fort Collins CO 80528-9579. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jergerian, Jennifer R can be contacted via phone (970) 207-4857.Contact Information
Primary practice address
4601 Corbett Dr
Fort Collins CO 80528-9579
Phone: (970) 207-4857
Fax: (970) 207-4885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3843 | Colorado |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY.0003310 | Colorado |
Profile Details
NPI number | 1306962915 |
---|---|
LBN Legal business name | Jergerian, Jennifer R |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2007 |
Last updated | Sep 17th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306962915 | NPPES |
Other | 015957 | KAISER-COMMERCIAL NUMBER | |
MEDICAID | 97282774 | KAISER-COMMERCIAL NUMBER |
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