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General NPI Number Information
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NPI Number | 1215050661
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Entity Type | Individual
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Provider Name | CHRISTINA JENSEMA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 900A S MAIN ST STE 105
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City | BEL AIR
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State | MD
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Zip | 21014-5438
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Country | US
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Telephone | 410-939-8744
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Fax | 410-939-8748
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Provider Business Mailing Address
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Address Line | 626 REVOLUTION ST
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3320
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Country | US
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Telephone | 410-939-8744
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Fax | 410-939-8748
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04760
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License Number State | MD
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