Individual
DR. JENNIFER ANN BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1920 THOMES AVE STE 500, CHEYENNE, WY 82001-3547
(307) 640-7720
(307) 464-3108
Mailing address
109 E 17TH ST STE 5539, CHEYENNE, WY 82001-4543
(720) 900-5272
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY 3275
CO
103TC0700X
Clinical Psychologist
Primary
658
WY
103TC0700X
Clinical Psychologist
PY 8062
FL
Other
Enumeration date
02/05/2011
Last updated
03/16/2020
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