JENNIFER SLUSARZ-CONROY


Address: 9951 Atlantic Blvd Ste 174, Jacksonville, FL 32225-6592
Phone: 8636926802

JENNIFER SLUSARZ-CONROY (NPI# 1790153757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790153757
Entity Type Individual
Full Name JENNIFER SLUSARZ-CONROY
Other Name JENNIFER VERONICA SLUSARZ
Credential PSYD
Practice Address 9951 Atlantic Blvd Ste 174
Jacksonville
FL 32225-6592
Mailing Address 4895 Creek Bluff Ln
Middleburg
FL 32068-8732
Practice Telephone 8636926802
Mailing Telephone 9378303017
Enumeration Date 2015-09-08
Last Update Date 2015-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
071.007274 IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PY7848 FL Behavioral Health & Social Service Providers

Office Location

Street Address 9951 ATLANTIC BLVD STE 174
City JACKSONVILLE
State FL
Zip Code 32225-6592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417352543 Counseling Solutions of Northeast Florida Inc Technician, Other 9951 Atlantic Blvd Ste 174, Jacksonville, FL 32225-6592 2014-10-31

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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