| Doctor Name: | DR. JENNIFER LYNN HIXSON |
| NPI Number: | 1033230917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LP, BCBA |
| License Number: | PS016805 |
| Business Practice Address: | 2128 Ponty Pool Dr Mount Juliet, TN - 371227455 |
| Business Phone Number: | 6157541213 |
| Business Fax Number: | |
| Mailing Address: | 2128 Ponty Pool Dr, MOUNT JULIET |
| State: | TN |
| Postal Code: | 371227455 |
| Phone Number: | 2542904048 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016805 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |