Organization
DOCTOR ELIZABETH JENSEN PSYCHIATRY PROFESSIONAL CORPORATION
Active
Other names
Jensen Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN JENSEN MD, PHD (PRESIDENT)
(802) 777-8703
Entity
Organization
Contact information
Practice address
27 RYE CIRCLE, SOUTH BURLINGTON, VT 05483
(802) 777-8703
(802) 654-9155
Mailing address
PO BOX 666, SHELBURNE, VT 05482-0666
(802) 777-8703
(802) 654-9155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0013202
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025437
—
VT
01
—
1740440122
PROVIDER NPI
—
Enumeration date
04/29/2016
Last updated
04/29/2016
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