Jennifer L. Thibodeaux, Pllc | |
2653 Mccormick Dr Clearwater FL 33759-1041 | |
(225) 270-2727 | |
Not Available |
Full Name | Jennifer L. Thibodeaux, Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2653 Mccormick Dr, Clearwater, Florida |
Authorized Official Name and Position | Jennifer Thibodeaux (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 2252702727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jennifer L. Thibodeaux, Pllc 2653 Mccormick Dr Clearwater FL 33759-1041 Ph: (225) 270-2727 | Jennifer L. Thibodeaux, Pllc 2653 Mccormick Dr Clearwater FL 33759-1041 Ph: (225) 270-2727 |
NPI Number | 1093246589 |
---|---|
Provider Enumeration Date | 03/25/2017 |
Last Update Date | 03/25/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093246589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY9698 (Florida) | Primary |
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