| Doctor Name: | DR. JENNIFER SMITH CUMMINGS |
| NPI Number: | 1093774630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CP |
| License Number: | 20041170 |
| Business Practice Address: | 230 E Day Rd #160 Mishawaka, IN - 465453463 |
| Business Phone Number: | 5742718222 |
| Business Fax Number: | 5742718896 |
| Mailing Address: | 230 E Day Rd, #160 MISHAWAKA |
| State: | IN |
| Postal Code: | 465453463 |
| Phone Number: | 5742718222 |
| Fax Number: | 5742718896 |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 01/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | 20041170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |