Luitjohan, Jessica Renee

Luitjohan, Jessica Renee is an individual health care provider with primary practice located at 2212 Pierce St Su 100, Sioux City IA 51104-3871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Luitjohan, Jessica Renee can be contacted via phone (712) 255-8323.

Contact Information

Primary practice address
2212 Pierce St Su 100 Sioux City IA 51104-3871
Phone: (712) 255-8323
Fax: (712) 255-8287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 07-21P Arkansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001332 Iowa

Profile Details

NPI number 1730381716
LBN Legal business name Luitjohan, Jessica Renee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Apr 7th, 2015 - about 9 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 1730381716 NPPES
Arkansas MEDICAID 164952719

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