Deschryver, Jennifer

Deschryver, Jennifer is an sole proprietor health care provider with primary practice located at 4120 W Maple Rd Suite 101, Bloomfield Hills MI 48301-3010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deschryver, Jennifer can be contacted via phone (248) 890-4077.

Contact Information

Primary practice address
4120 W Maple Rd Suite 101 Bloomfield Hills MI 48301-3010
Phone: (248) 890-4077
Fax: (248) 855-4530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011358 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301011358 Michigan

Profile Details

NPI number 1932382397
LBN Legal business name Deschryver, Jennifer
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2007
Last updated Sep 23rd, 2010 - 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 1932382397 NPPES
Michigan Other 68-0-F3-0385-0 BCBS

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