Healthcare Provider Details

I. General information

NPI: 1265352892
Provider Name (Legal Business Name): JENA HUSTON SCHOOL PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E QUEEN CREEK RD
GILBERT AZ
85297-0329
US

IV. Provider business mailing address

4317 E CLOUDBURST CT
GILBERT AZ
85297-9685
US

V. Phone/Fax

Practice location:
  • Phone: 480-224-2884
  • Fax:
Mailing address:
  • Phone: 480-206-1698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: