Individual
JENNIFER ANNE FLEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1411 N WEST SHORE BLVD, TAMPA, FL 33607-4515
(813) 844-3541
Mailing address
4744 CHARLES PARTIN DR, PARRISH, FL 34219-1242
(727) 510-2721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426277
—
NY
01
—
121968FC
PREFERRED CARE PSYCH
NY
01
—
121968FD
PREFERRED CARE NEUROPSYCH
NY
01
—
G0184796190
BLUECROSSBLUESHIELD GROUP
NY
01
—
P010015572
BLUECROSSBLUESHIELD INDIV
NY
Enumeration date
04/11/2006
Last updated
08/12/2022
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