Individual
AMANDA JAYNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 BRICKELL AVE STE 900, MIAMI, FL 33131-2979
(352) 448-7113
Mailing address
2526 SW COOPER LN, PORT ST LUCIE, FL 34984-5010
(310) 892-4284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10902
FL
Other
Enumeration date
11/13/2020
Last updated
12/09/2021
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