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NPI Code Detail

MEDICARE: JENNIFER MEYERHOFF

MEDICARE: JENNIFER MEYERHOFF
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
1101YM0800XMental Health Counselor009349NY

General Provider Information

NPI Number : 1891204434
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MEYERHOFF
Provider Business Mailing Address
First Line : 121 WINTHROP AVE APT 1
Second Line :
City : ALBANY
State : NY
Zip : 12203-1939
Country : US
Telephone Number : 518-232-4223
Fax Number :
Provider Business Practice Location Address
First Line : 35 BATH ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1745
Country : US
Telephone Number : 518-245-6272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2017
Last Update Date : 05/02/2019

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Directions to “ JENNIFER MEYERHOFF ” Practice Location

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