Jergerian, Jennifer R

Jergerian, Jennifer R is an individual health care provider with primary practice located at 4601 Corbett Dr , Fort Collins CO 80528-9579. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jergerian, Jennifer R can be contacted via phone (970) 207-4857.

Contact Information

Primary practice address
4601 Corbett Dr Fort Collins CO 80528-9579
Phone: (970) 207-4857
Fax: (970) 207-4885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3843 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY.0003310 Colorado

Profile Details

NPI number 1306962915
LBN Legal business name Jergerian, Jennifer R
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Sep 17th, 2021 - about 5 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 1306962915 NPPES
Other 015957 KAISER-COMMERCIAL NUMBER
MEDICAID 97282774 KAISER-COMMERCIAL NUMBER

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