Individual
DR. JEANNINE K ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5891
OH
103TC0700X
Clinical Psychologist
Primary
5789
CO
103TC0700X
Clinical Psychologist
P.5891
OH
103TH0004X
Health Psychologist
5789
CO
103TH0004X
Health Psychologist
P.5891
OH
103TH0100X
Health Service Psychologist
5789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083266
—
OH
Enumeration date
10/02/2006
Last updated
08/17/2025
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