Doctor Name: | JENNIFER ANKER |
NPI Number: | 1023421328 |
Entity Type Code: | Individual (1) |
Gender: | F |
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License Number: | |
Business Practice Address: | 16282 E Main St Apt 21f Tustin, CA - 927804032 |
Business Phone Number: | 2108615366 |
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Mailing Address: | 354 Brand Rd, BULVERDE |
State: | TX |
Postal Code: | 781633409 |
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NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |