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NPI Code Detail

MEDICARE: DR. JOSEPH ALEX JENEY PH.D.

MEDICARE:  DR. JOSEPH ALEX JENEY  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist6301005699MI

General Provider Information

NPI Number : 1659427839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ALEX JENEY PH.D.
Provider Business Mailing Address
First Line : 415 W GRAND RIVER AVE
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-4201
Country : US
Telephone Number : 517-332-3939
Fax Number : 517-333-8777
Provider Business Practice Location Address
First Line : 415 W GRAND RIVER AVE
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-4201
Country : US
Telephone Number : 517-332-3939
Fax Number : 517-333-8777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOSEPH ALEX JENEY PH.D.” Practice Location

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