Individual
DR. JENNIFER KAYE PAWELECK-BELLINGRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14539 W INDIAN SCHOOL RD, SUITE 800, GOODYEAR, AZ 85395-9279
(623) 882-3364
(623) 882-3367
Mailing address
3973 N EVERGREEN ST, BUCKEYE, AZ 85396-3672
(520) 249-7007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z124025
MEDICARE PTAN
AZ
Enumeration date
07/04/2006
Last updated
02/12/2010
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