Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JO JEFFRES, PH.D.
Deactivated Sole ProprietorMARY JO JEFFRES, PH.D. is a Clinical Psychologist healthcare provider located in RIVERTON, Wyoming. NPI 1629013784 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · RIVERTON, WY
This NPI has been deactivated.
The record was deactivated on December 7, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629013784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2006 (1.4644808743169 yrs)
- Last Updated
- Dec 23, 2015
- Deactivated
- Dec 7, 2007
- License
-
421 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 N 5TH ST ERIVERTON, WY, 825014402Browse WY providers · Browse ZIP 82501
- Phone
- 3074630890
- Fax
- 3074630891
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in RIVERTON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES W RODGERS | PHD | 1265683155 |
| DR. MARC DOUGLAS MCLAUGHLIN | PH.D. | 1164726766 |
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.