Individual
ERICKA S JENIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1780 DOOLITTLE AVE, 301ST MDS, MENTAL HEALTH SECTION, NAS/JRB, TX 76127-1134
(817) 782-7785
(817) 782-6522
Mailing address
1780 DOOLITTLE AVE, 301ST MDS, MENTAL HEALTH SECTION, NAS/JRB, TX 76127-1134
(817) 782-7785
(817) 782-6522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008482
IL
Other
Enumeration date
03/18/2008
Last updated
05/13/2013
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