| Jennifer E Medina Phd Pc | |
|
3333 S Bannock St Ste 1010 Englewood CO 80110-2432 | |
| (720) 295-0357 | |
| Not Available |
| Full Name | Jennifer E Medina Phd Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3333 S Bannock St Ste 1010, Englewood, Colorado |
| Authorized Official Name and Position | Jennifer Medina (OWNER) |
| Authorized Official Contact | 7733390621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Medina Phd Pc 3333 S Bannock St Ste 1010 Englewood CO 80110-2432 Ph: (720) 295-0357 | Jennifer E Medina Phd Pc 3333 S Bannock St Ste 1010 Englewood CO 80110-2432 Ph: (720) 295-0357 |
| NPI Number | 1649674524 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 12/07/2015 |
| Medicare PECOS PAC ID | 5496078404 |
|---|---|
| Medicare Enrollment ID | O20150311002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY.0004192 (Colorado) | Primary |
| Provider Name | Jennifer Elaine Medina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144513821 PECOS PAC ID: 0143494658 Enrollment ID: I20150311002179 |
Happy Hearts Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 S Broadway, Englewood, CO 80113 Phone: 720-443-9759 | |
Mountain Vista Psychology, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 88 Inverness Cir E Ste 103, Englewood, CO 80112 Phone: 720-583-9332 Fax: 720-213-4084 | |
Mindcolor Autism Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 Inverness Dr S Ste J, Englewood, CO 80112 Phone: 833-646-3222 Fax: 833-646-3222 | |
Aba Services Of Colorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 E Geddes Ave Ste 125, Englewood, CO 80112 Phone: 720-670-9046 | |
Mhwoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3602 S Jason St, Englewood, CO 80110 Phone: 720-880-8891 | |
Action Behavior Centers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6065 S Quebec St Ste 100, Englewood, CO 80111 Phone: 720-259-5079 | |
Sovereign Soul Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 68 Inverness Ln E Ste 203a, Englewood, CO 80112 Phone: 720-248-7071 |