Individual
DR. PHYLLIS K. JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
871 VENETIA BAY BLVD STE 360, VENICE, FL 34285-8051
(941) 485-0854
(941) 480-9013
Mailing address
871 VENETIA BAY BLVD STE 360, VENICE, FL 34285-8051
(941) 485-0854
(941) 480-9013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6912
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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