Mullowney, Jennifer

Mullowney, Jennifer is an individual health care provider with primary practice located at 13943 N 91St Ave Bldg A Suite 101, Peoria AZ 85381-3687. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mullowney, Jennifer can be contacted via phone (623) 889-7458.

Contact Information

Primary practice address
13943 N 91St Ave Bldg A Suite 101 Peoria AZ 85381-3687
Fax: (716) 688-6343
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-12289 Arizona

Profile Details

NPI number 1467410779
LBN Legal business name Mullowney, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 17th, 2008 - about 16 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 1467410779 NPPES
Delaware Other 232905LCS BLUE CROSS
Delaware MEDICAID 1000039102 BLUE CROSS

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