Jennifer L Thibodeaux (NPI# 1013467919, PAC ID# 9739469552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1013467919 |
| PAC ID by PECOS | 9739469552 |
| Professional Enrollment ID | I20161213000434 |
| Full Name | Jennifer L Thibodeaux |
| Organization Legal Name | COASTAL NEUROPSYCHOLOGY, LLC |
| Address |
1700 N Mcmullen Booth Rd Suite C1 Clearwater FL 33759-2129 |
| Phone Number | 8006871938 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 6406135748 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 | 8006871938 | COASTAL NEUROPSYCHOLOGY, LLC |
| Organization Legal Name | COASTAL NEUROPSYCHOLOGY, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Coppes | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Christina D Brown | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Joseph Conrad | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Street Address |
1700 N MCMULLEN BOOTH RD SUITE C1 |
| City | CLEARWATER |
| State | FL |
| Zip | 33759-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Coppes | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Christina D Brown | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Marquissa Ann Beverly | Podiatry | Ankle and Foot Center of Tampa Bay | 1700 N Mcmullen Booth Rd, Suite A2 2, Clearwater, FL 33759-2100 |
| Joseph Conrad | Psychologist, Clinical | Coastal Neuropsychology, LLC | 1700 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33759-2129 |
| Brian William Fullem | Podiatry | 1700 N Mcmullen Booth Rd, C1, Clearwater, FL 33759-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Earl Galloway | Radiation Oncology | Advanced Urology Institute, LLC | 2560 Enterprise Rd E, Clearwater, FL 33759-1010 |
| Michael A Cusumano | Optometry | Mobile Vision Partners Pllc | 2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1362 |
| Leland Kelly Smith Iii | Optometry | Mobile Vision Partners Pllc | 2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1362 |
| Nicholas T Anderson | Optometry | Mobile Vision Partners Pllc | 2451 N Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759-1362 |
| Dawn L Curtis | Nurse Practitioner | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Kristina Markonios Ramos | Nurse Practitioner | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Naoko Yonamine | Nurse Practitioner | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Joseph I Adan | Psychiatry | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Rebecca J Shytle | Nurse Practitioner | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Jana L Ramsey-liao | Psychiatry | Aandm Psychiatric Services Pa | 1938 Soule Rd, Clearwater, FL 33759-1507 |
| Find all physicians in zip 33759 | |||
| City | CLEARWATER |
| Zip Code | 33759 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CLEARWATER + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jennifer L Thibodeaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.