Individual
JENNIFER A PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
650 HUEBNER RD, DBH, 4TH FLOOR, ROOM 4A130, FORT RILEY, KS 66442-4030
(785) 239-7874
(785) 240-8358
Mailing address
650 HUEBNER RD, DBH, 4TH FLOOR, ROOM 4A130, FORT RILEY, KS 66442-4030
(785) 239-7874
(785) 240-8358
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2534
KS
103G00000X
Clinical Neuropsychologist
3166
CT
103TC0700X
Clinical Psychologist
Primary
2534
KS
Other
Enumeration date
02/02/2012
Last updated
01/26/2023
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