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General NPI Number Information
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NPI Number | 1285503136
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Entity Type | Organization
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Legal Business Name | JL PSYCHOLOGICAL ENTERPRISES
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1948 RAINIER DR
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City | MARTINEZ
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State | CA
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Zip | 94553-4927
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Country | US
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Telephone | 603-969-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 1948 RAINIER DR
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City | MARTINEZ
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State | CA
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Zip | 94553-4927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER LANDRY
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Credential |
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Telephone | 603-969-9400
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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 |
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License Number State |
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