| Organization Name: | JENNIFER ROSSI PHD PC |
| NPI Number: | 1053593301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER RENE ROSSI (PRESIDENT) |
| Mailing Address: | 5 Saint Johns Way Reedsport |
| State: | OR US |
| Postal Code: | 974671794 |
| Phone Number: | 5416620527 |
| Fax Number: | 5412719502 |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |