| Jennifer Farrell Pllc. | |
|
1073 Willa Springs Dr Ste 2013 Winter Springs FL 32708-6625 | |
| (407) 753-7473 | |
| Not Available |
| Full Name | Jennifer Farrell Pllc. |
|---|---|
| Speciality | Psychologist |
| Location | 1073 Willa Springs Dr Ste 2013, Winter Springs, Florida |
| Authorized Official Name and Position | Jennifer Ellen Farrell (COUNSELING PSYCHOLOGIST) |
| Authorized Official Contact | 9377650654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Farrell Pllc. 1114 N Black Acre Ct Winter Springs FL 32708-4432 Ph: (937) 765-0654 | Jennifer Farrell Pllc. 1073 Willa Springs Dr Ste 2013 Winter Springs FL 32708-6625 Ph: (407) 753-7473 |
| NPI Number | 1760052005 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 9133519762 |
|---|---|
| Medicare Enrollment ID | O20211214000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760052005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ellen Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992390488 PECOS PAC ID: 0042600678 Enrollment ID: I20211214000857 |
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