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NPI Code Detail

MEDICARE: DR. JENNIFER AMANDA FLOWERS PSY. D., MFT

MEDICARE:  DR. JENNIFER AMANDA FLOWERS  PSY. D., MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist44174CA

General Provider Information

NPI Number : 1013223536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER AMANDA FLOWERS PSY. D., MFT
Provider Business Mailing Address
First Line : 1000 QUAIL ST STE 275
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2743
Country : US
Telephone Number : 949-863-9031
Fax Number : 949-863-3132
Provider Business Practice Location Address
First Line : 1000 QUAIL ST STE 275
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2743
Country : US
Telephone Number : 949-863-9031
Fax Number : 949-863-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2010
Last Update Date : 08/21/2010

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Directions to “ DR. JENNIFER AMANDA FLOWERS PSY. D., MFT” Practice Location

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