Healthcare Provider Details

I. General information

NPI: 1396071387
Provider Name (Legal Business Name): JENNIFER TUREK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S INDIAN BEND RD
TEMPE AZ
85281-4926
US

IV. Provider business mailing address

1515 S INDIAN BEND RD
TEMPE AZ
85281-4926
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-5186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-12632
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: