| Doctor Name: | SANDRA JENSEN |
| NPI Number: | 1003975467 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY6897 |
| Business Practice Address: | 2728 Centerview Dr Suite 201 Tallahassee, FL - 323016200 |
| Business Phone Number: | 8503397660 |
| Business Fax Number: | 8502709915 |
| Mailing Address: | 2728 Centerview Dr, Suite 201 TALLAHASSEE |
| State: | FL |
| Postal Code: | 323016200 |
| Phone Number: | 8503397660 |
| Fax Number: | 8502709915 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 01/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6897 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |