Individual
DR. JENNIFER CLARE AVERYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1130 E MISSOURI AVE STE 700, PHOENIX, AZ 85014-2717
(602) 461-7493
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4486
AZ
Other
Enumeration date
08/30/2012
Last updated
03/04/2019
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