| Jennah Strathausen Llc | |
|
201 W Broadway Ste 2d Columbia MO 65203-3842 | |
| (573) 825-4036 | |
| Not Available |
| Full Name | Jennah Strathausen Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W Broadway Ste 2d, Columbia, Missouri |
| Authorized Official Name and Position | Jennah Strathausen (PSYCHOLOGIST) |
| Authorized Official Contact | 7853932315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennah Strathausen Llc 818 Rollins Rd Columbia MO 65203-2850 Ph: (785) 393-2315 | Jennah Strathausen Llc 201 W Broadway Ste 2d Columbia MO 65203-3842 Ph: (573) 825-4036 |
| NPI Number | 1093405581 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 2163889569 |
|---|---|
| Medicare Enrollment ID | O20230530002488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093405581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennah Strathausen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558031385 PECOS PAC ID: 0941696074 Enrollment ID: I20220329002922 |
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