Jennifer Thibodeaux
Psychologist
1700 N Mcmullen Booth Rd Ste C1
Clearwater
, Florida 33759
Jennifer Thibodeaux
Psychologist
1700 N Mcmullen Booth Rd Ste C1
Clearwater
, Florida 33759
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Jennifer Thibodeaux
- 1700 N Mcmullen Booth Rd Ste C1
- Clearwater, FL
- Zip : 33759-2129
- Phone :
Second Address
- Jennifer Thibodeaux
- 1700 N Mcmullen Booth Rd Ste C1
- Clearwater, FL
- Zip : 33759
- Phone : (727) 300-1938
Reviews
FAQs
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Is Jennifer Thibodeaux accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY9698 | FL |
| Y | 103T00000X | Psychologist | PY9698 | FL |
National Provider Identifier
| NPI | 1013467919 |
|---|---|
| Provider Name | Jennifer Thibodeaux |
| First Address | Clearwater, FL 33759-2129 |
| Second Address | Clearwater, FL 33759 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2016 |
| Last Update Date | 13/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.