Thiessen, Jennifer L
Thiessen, Jennifer L is an individual health care provider with primary practice located at 100 Emancipation Dr (116A), Hampton VA 23667-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thiessen, Jennifer L can be contacted via phone (757) 722-9961.Contact Information
Primary practice address
100 Emancipation Dr (116A)
Hampton VA 23667-0001
Phone: (757) 722-9961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810004670 | Virginia |
Profile Details
| NPI number | 1376882993 |
|---|---|
| LBN Legal business name | Thiessen, Jennifer L |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2013 |
| Last updated | Aug 15th, 2013 - about 13 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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