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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERRI ELANA JENNINGS, PH.D

Active Sole Proprietor

DR. TERRI ELANA JENNINGS, PH.D is a Psychologist healthcare provider located in BLUE LAKE, California. NPI 1568611861 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BLUE LAKE, CA

Registration Details

NPI Number
1568611861
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2008 (17.779458038871 yrs)
Last Updated
Aug 19, 2019
Licenses
PY6802 (FL)
PSY27263 (CA)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 1006
BLUE LAKE, CA, 955251006
Browse CA providers · Browse ZIP 95525
Phone
7078458737
Fax
7078458737
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.