# JACQUELINE ROSE PFEIFER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710082078
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 866 | KS | Yes |
| 103T00000X | Psychologist | R0407 | MO | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004517 | BLUE CROSS BLUE SHIELD GR | KS |
| 01 | — | 060779 | BLUE CROSS BLUE SHIELD | KS |
| 01 | — | 1049473 | CIGNA | — |
| 01 | — | 22447022 | KANSAS CITY BLUE CROSS BL | — |
| 01 | — | 7154171 | AETNA | — |