Individual
DR. JENNIFER LYNN BISSETT
Active
Individual
DR. JENNIFER LYNN BISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3-2445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176347603
—
TX
01
—
614295
VALUEOPTIONS
TX
01
—
87499A
BCBS
TX
01
—
8G0983
BCBS
TX
Enumeration date
07/16/2006
Last updated
09/09/2008
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