Individual
JENNIFER ELAINE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
12348 E MONTVIEW BLVD, AURORA, CO 80045-7103
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY.0004192
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0004192
CO
Other
Enumeration date
05/27/2011
Last updated
04/29/2026
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