Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 0810005187 | VA |
N | 103TC1900X | Counseling Psychologist | PY 7465 | FL |
NPI | 1053533901 |
---|---|
Provider Name | Dr. Jennifer Z Lecrone |
First Address | Midlothian, VA 23113-6909 |
Second Address | Midlothian, VA 23113-6909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 14/09/2016 |