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General NPI Number Information
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NPI Number | 1689160491
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Entity Type | Organization
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Legal Business Name | JENNIFER C. WENDT, PH.D., PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 07/04/2018
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Last Update Date | 07/04/2018
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Provider Practice Location Address
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Address Line | 10531 4S COMMONS DR STE 477
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City | SAN DIEGO
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State | CA
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Zip | 92127-3517
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Country | US
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Telephone | 619-309-5956
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Fax |
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Provider Business Mailing Address
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Address Line | 17308 LIBERTAD DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-1335
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Country | US
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Telephone | 619-309-5956
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JENNIFER C WENDT
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Credential | PH.D.
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Telephone | 619-309-5956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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