Individual
JENNIFER J. WILSON SCHAEFFER
Active
Individual
JENNIFER J. WILSON SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195349
ANTHEM
—
01
—
1191578
CHA
—
01
—
611142277Q
HUMANA
—
01
—
680015706
RAILROAD MCR
—
05
—
8900032700
—
KY
Enumeration date
05/05/2006
Last updated
05/09/2008
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