Individual
SANDRA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4851 CLIFF DR, RAPID CITY, SD 57702
(850) 339-7660
Mailing address
4851 CLIFF DR, RAPID CITY, SD 57702-6817
(850) 339-7660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
559
SD
103TC0700X
Clinical Psychologist
PY6897
FL
103TC0700X
Clinical Psychologist
WY530
WY
Other
Enumeration date
12/08/2006
Last updated
07/04/2019
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