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NPI Code Detail

MEDICARE: JENNIFER IRIZARRY

MEDICARE: JENNIFER IRIZARRY
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
1101YP2500XProfessional CounselorPC020062PA
2103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1811744410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER IRIZARRY
Provider Business Mailing Address
First Line : 161 W CHARLOTTE ST
Second Line :
City : MILLERSVILLE
State : PA
Zip : 17551-1318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 510 E MAIN ST
Second Line :
City : LITITZ
State : PA
Zip : 17543-2140
Country : US
Telephone Number : 717-405-0343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 03/02/2026

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Directions to “ JENNIFER IRIZARRY ” Practice Location

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