Individual
MRS. JENNIFER EDGEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 HILLCREST RD # A124, DALLAS, TX 75230-1524
(214) 755-6119
Mailing address
1646 LATHAM ST, APT 7, MOUNTAIN VIEW, CA 94041-1779
(703) 939-5934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
05/26/2021
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