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Individual

DR. JENNIFER NICOLE SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2006033329
MO

Other

Enumeration date
12/18/2006
Last updated
07/08/2007
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