Dr Jennifer Rae Henretty, PHD - Psychologist in Long Beach, CA

Dr Jennifer Rae Henretty, PHD is a Psychologist - Clinical based in Long Beach, California. Dr Jennifer Rae Henretty is licensed to practice in California (license number 25651) and her current practice location is 9225 Marina Pacifica Dr N, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at (562) 714-0504.

NPI number for Dr Jennifer Rae Henretty is 1801516653 and her current mailing address is 9225 Marina Pacifica Dr N, Long Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801516653.

Contact Information

Dr Jennifer Rae Henretty, PHD
9225 Marina Pacifica Dr N,
Long Beach, CA 90803-3887
(562) 714-0504
Not Available



Healthcare Provider's Profile

Full NameDr Jennifer Rae Henretty
GenderFemale
SpecialityPsychologist - Clinical
Location9225 Marina Pacifica Dr N, Long Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801516653
  • Provider Enumeration Date: 08/31/2022
  • Last Update Date: 08/31/2022

Medical Identifiers

Medical identifiers for Dr Jennifer Rae Henretty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801516653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810005845 (Virginia)Secondary
103TC0700XPsychologist - Clinical 25651 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Rae Henretty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Rae Henretty, PHD
9225 Marina Pacifica Dr N,
Long Beach, CA 90803-3887

Ph: (562) 714-0504
Dr Jennifer Rae Henretty, PHD
9225 Marina Pacifica Dr N,
Long Beach, CA 90803-3887

Ph: (562) 714-0504

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› Verified 9 days ago


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