| Jennifer L. Thibodeaux, Pllc | |
|
2653 Mccormick Dr Clearwater FL 33759-1041 | |
| (225) 270-2727 | |
| Not Available |
| Full Name | Jennifer L. Thibodeaux, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2653 Mccormick Dr, Clearwater, Florida |
| Authorized Official Name and Position | Jennifer Thibodeaux (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2252702727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L. Thibodeaux, Pllc 2653 Mccormick Dr Clearwater FL 33759-1041 Ph: (225) 270-2727 | Jennifer L. Thibodeaux, Pllc 2653 Mccormick Dr Clearwater FL 33759-1041 Ph: (225) 270-2727 |
| NPI Number | 1093246589 |
|---|---|
| Provider Enumeration Date | 03/25/2017 |
| Last Update Date | 03/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093246589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9698 (Florida) | Primary |
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