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NPI Code Detail

MEDICARE: JENNIFER FARRELL PLLC.

MEDICARE: JENNIFER FARRELL PLLC.
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1760052005
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER FARRELL PLLC.
Provider Business Mailing Address
First Line : 1114 N BLACK ACRE CT
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4432
Country : US
Telephone Number : 937-765-0654
Fax Number :
Provider Business Practice Location Address
First Line : 1073 WILLA SPRINGS DR STE 2013
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-6625
Country : US
Telephone Number : 407-753-7473
Fax Number :
Authorized Official
Title or Position : COUNSELING PSYCHOLOGIST
Name : DR. JENNIFER ELLEN FARRELL
Credential : PH.D.
Telephone Number : 937-765-0654
Provider Enumeration Date : 06/29/2021
Last Update Date : 11/13/2023

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Directions to “JENNIFER FARRELL PLLC. ” Practice Location

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