Organization
JENNIFER SPENCER PHD HSPP PC
Active
Organization
JENNIFER SPENCER PHD HSPP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MICHAEL SPENCER PHD HSPP (PSYCHOLOGIST/OWNER)
(812) 333-8474
Entity
Organization
Contact information
Practice address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
(812) 961-3804
Mailing address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
(812) 961-3804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20041405
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200298330
—
IN
Enumeration date
08/18/2009
Last updated
10/13/2023
Update your record
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