Spencer, Jennifer Michael
Spencer, Jennifer Michael is an sole proprietor health care provider with primary practice located at 631 N College Ave , Bloomington IN 47404-3871. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Spencer, Jennifer Michael can be contacted via phone (812) 333-8474.Contact Information
Primary practice address
631 N College Ave
Bloomington IN 47404-3871
Phone: (812) 333-8474
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20041405A | Indiana |
Profile Details
NPI number | 1003828880 |
---|---|
LBN Legal business name | Spencer, Jennifer Michael |
Credentials | PHD HSPP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 12th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1003828880 | NPPES |
Indiana | MEDICAID | 200298330 |
Popular Providers
-
Arthur, Ian Thomas
600 N Eagleson Ave Rm 435, Bloomington IN 47405-3190 -
Batka, Catherine Elizabeth
101 W. Kirkwood Ave Suite 103, Bloomington IN 47404 -
Reed, Richard Bernard
2115 E 3Rd St , Bloomington IN 47401-5306 -
Arany, Julia Gruber
101 W Kirkwood Ave Suite 103, Bloomington IN 47404-6129 -
Bartley-Smith, Carolyn Sue
4629 E Morningside Dr , Bloomington IN 47408-3165 -
Pauly, Susan L.
1132A S Rogers St , Bloomington IN 47403-4770 -
Boch, Anne
208 N Walnut St Ste 203 Suite 203, Bloomington IN 47404-4926 -
Sherman, Roberta
4647 E Morningside Dr , Bloomington IN 47408-3167