Individual
JENNIFER LINN GAGNE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4515 PREMIER DR STE 402A, HIGH POINT, NC 27265-8356
(336) 702-1255
(336) 802-2201
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001225
—
NC
Enumeration date
06/23/2010
Last updated
12/16/2019
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