Individual
DR. JENNIFER BETH GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1318 MEMORIAL DR, BRYAN, TX 77802-5215
(979) 776-2872
(979) 776-1456
Mailing address
15532 CREEK MEADOW BLVD N, COLLEGE STATION, TX 77845-2405
(979) 571-9392
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3119
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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