Individual
KATE L JANSEN
Active
Individual
KATE L JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001267
IA
103TH0004X
Health Psychologist
Primary
001267
IA
103TH0100X
Health Service Psychologist
001267
IA
Other
Enumeration date
05/16/2012
Last updated
06/21/2012
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