| Jennifer L Weniger Pllc | |
|
1880 Office Club Pt Ste 263 Colorado Springs CO 80920-5019 | |
| (909) 234-1580 | |
| Not Available |
| Full Name | Jennifer L Weniger Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1880 Office Club Pt Ste 263, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jennifer Weniger (OWNER) |
| Authorized Official Contact | 9092341580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Weniger Pllc 1880 Office Club Pt Ste 263 Colorado Springs CO 80920-5019 Ph: (909) 234-1580 | Jennifer L Weniger Pllc 1880 Office Club Pt Ste 263 Colorado Springs CO 80920-5019 Ph: (909) 234-1580 |
| NPI Number | 1477325272 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 5496103467 |
|---|---|
| Medicare Enrollment ID | O20231130004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477325272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Weniger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316968894 PECOS PAC ID: 9133464324 Enrollment ID: I20231130004060 |
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