Individual
DR. JENNIFER S. LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2602 NW 6TH ST, STE A, GAINESVILLE, FL 32609-2944
(352) 392-4541
(352) 392-7766
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-4541
(352) 392-7766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4855
FL
103TC0700X
Clinical Psychologist
PY0004855
FL
Other
Enumeration date
08/23/2005
Last updated
10/11/2018
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