Individual
DR. JENNIFER LYNN DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
354 NE GREENWOOD AVE STE 204, BEND, OR 97701-4632
(541) 224-6544
(541) 610-1767
Mailing address
20644 ROLEN AVE, BEND, OR 97702-3857
(949) 484-3828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
26152
CA
103T00000X
Psychologist
Primary
3443
OR
Other
Enumeration date
04/26/2007
Last updated
10/31/2022
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