Individual
MELISSA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11550 WINTON RD DEPT 100, CINCINNATI, OH 45240-2355
(513) 924-8200
(513) 924-8201
Mailing address
11550 WINTON RD DEPT 100, CINCINNATI, OH 45240-2355
(513) 924-8200
(513) 924-8201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P7447
OH
103TC0700X
Clinical Psychologist
P7447
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181852
—
OH
Enumeration date
08/11/2014
Last updated
04/17/2018
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