Individual
JENNIFER NORIE MONIZ TEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 389-5134
Mailing address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 389-5134
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1057
NE
Other
Enumeration date
07/27/2021
Last updated
07/28/2022
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