Individual
JONELLE ENSIGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
590 SOLUTIONS WAY STE 110, ROCKLEDGE, FL 32955-3623
(321) 305-4342
Mailing address
590 SOLUTIONS WAY STE 110, ROCKLEDGE, FL 32955-3623
(321) 305-4342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20043131A
IN
103T00000X
Psychologist
36708
TX
103T00000X
Psychologist
Primary
PY11427
FL
103TS0200X
School Psychologist
SS1491
FL
Other
Enumeration date
09/05/2014
Last updated
05/28/2022
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