Phyllis K. Jensen, Psy.d.,l.l.c.

NPI #1306002803 in Venice, Florida

Provider Information

NPI Number
1306002803
Entity Type
Organization
Organization Name
Phyllis K. Jensen, Psy.d.,l.l.c.
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Aug 4, 2008
Last Updated
May 27, 2009

Practice Location

Address
871 VENETIA BAY BLVD
Address 2
SUITE 360
City
Venice
State
Florida
ZIP Code
34285-8047
Phone
(941) 485-0854

Authorized Official

Name
DR. PHYLLIS K. JENSEN, PSY.D.
Title
PSYCHOLOGIST
Phone
(941) 485-0854

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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