Individual
DR. EMMA B JURRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1320 CENTRAL PARK BLVD, SUITE 231, FREDERICKSBURG, VA 22401-4942
(540) 446-6567
(540) 657-1439
Mailing address
2010 WAVE DR, STAFFORD, VA 22554-2511
(540) 446-9805
(540) 657-1439
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003385
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810003385
HEALTH PROFESSION LICENSE
VA
01
—
11505138
CAQH CREDENTIALING ID
—
01
—
185172
ANTHEM BLUE CROSS BLUE SH
—
Enumeration date
02/22/2007
Last updated
06/12/2008
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