Individual
DR. JENNIFER RUTHERFORD JAGIELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
107 S SHEPPARD ST, ROUND ROCK, TX 78664-5266
(512) 255-9554
(512) 255-9342
Mailing address
107 S SHEPPARD ST, ROUND ROCK, TX 78664-5266
(512) 255-9554
(512) 255-9342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32581
TX
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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