Mandigo, Jennifer

Mandigo, Jennifer is an individual health care provider with primary practice located at 971 North Jason Lopez Cir Building A, Florence AZ 85132-8513. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mandigo, Jennifer can be contacted via phone (502) 866-5770.

Contact Information

Primary practice address
971 North Jason Lopez Cir Building A Florence AZ 85132-8513
Phone: (502) 866-5770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60267748 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-005700 Arizona

Profile Details

NPI number 1194957670
LBN Legal business name Mandigo, Jennifer
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2009
Last updated May 26th, 2023 - about 2 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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