Individual
DR. JENNIFER L THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 EMANCIPATION DR, (116A), HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, (116A), HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004670
VA
Other
Enumeration date
02/01/2013
Last updated
08/15/2013
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