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Organization

LESAJEAN M. JENNINGS, PSY.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESAJEAN MCDONALD JENNINGS PSY.D. (LICENSED PSYCHOLOGIST / OWNER)
(713) 225-2280
Entity
Organization

Contact information

Practice address
1319 LIVE OAK ST, HOUSTON, TX 77003-4408
(713) 225-2280
(713) 225-5787
Mailing address
1319 LIVE OAK ST, HOUSTON, TX 77003-4408
(713) 225-2280
(713) 225-5787

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25562
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062BT
BLUE CROSS / BLUE SHIELD
TX
01
10020773
AMERIGROUP
TX
01
107094
SUPERIOR
TX
05
1136236-01
TX
01
135153
VALUE OPTIONS
TX
01
167799
COMPSYCH
TX
01
JENNI-0006
COMPCARE
TX
Enumeration date
04/23/2012
Last updated
04/23/2012
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