Organization
JENNIFER L. THIBODEAUX, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THIBODEAUX PH.D. (LICENSED PSYCHOLOGIST)
(225) 270-2727
Entity
Organization
Contact information
Practice address
2653 MCCORMICK DR, CLEARWATER, FL 33759-1041
(225) 270-2727
Mailing address
2653 MCCORMICK DR, CLEARWATER, FL 33759-1041
(225) 270-2727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9698
FL
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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