Thibodeaux, Jennifer

Thibodeaux, Jennifer is an individual health care provider with primary practice located at 1700 N Mcmullen Booth Rd Ste C1 , Clearwater FL 33759. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Thibodeaux, Jennifer can be contacted via phone (727) 300-1938.

Contact Information

Primary practice address
1700 N Mcmullen Booth Rd Ste C1 Clearwater FL 33759
Phone: (727) 300-1938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9698 Florida

Profile Details

NPI number 1013467919
LBN Legal business name Thibodeaux, Jennifer
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Aug 13th, 2018 - about 6 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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