Individual
DR. JENNIFER J. ALBERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
(417) 627-9032
Mailing address
2700 N RANGE LINE RD, STE 101, JOPLIN, MO 64801-9191
(417) 627-9601
(417) 627-9032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2003019242
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077990A
—
OK
05
—
498828805
—
MO
Enumeration date
10/12/2006
Last updated
10/01/2019
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