Gregg A Jensen PSYD

NPI 1093725160 - Psychologist - 103T00000X

NPI Details
NPI 1093725160
Gender Male
Enumeration Date 08/09/2006
Last Updated 11/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
6353 CENTER DRIVE
STE 204
NORFOLK VA, 23502-4808, US
Phone (757) 455-8923
Fax (757) 461-1641
Business Location
6353 CENTER DRIVE
STE 204
NORFOLK VA, 23502-4808, US
Phone (757) 455-8923
Fax (757) 461-1641
Toxanomy
Taxonomy Code 103T00000X
License State Virginia
License Number 081000963
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According to our database, Dr. Gregg A Jensen PSYD NPI is 1093725160, taxonomy code is 103T00000X and license number is 081000963, license state is located at Virginia. Gregg A Jensen PSYD physically located at 6353 Center Drive, Norfolk VA, 23502-4808. NPI Number Gregg A Jensen PSYD has the Individual type.

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1093725160 NPI number is provided on an as is basis without warranty of any kind. 1093725160 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg A Jensen PSYD are for informational purposes only.