Jacqueline Mary Henretig, is a
Psychologist - Clinical based in Tempe, Arizona. Jacqueline Mary Henretig is licensed to practice in Arizona (license number PSY-005432) and her current practice location is
1840 E Broadway Rd, Tempe, Arizona. She can be reached at her office (for appointments etc.) via phone at
(022) 437-2776.
NPI number for Jacqueline Mary Henretig is 1316372139 and her current mailing address is 3003 N Central Ave Ste 1600, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316372139.
Healthcare Provider's Profile
Full Name | Jacqueline Mary Henretig |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 1840 E Broadway Rd, Tempe, Arizona |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316372139
- Provider Enumeration Date: 09/11/2013
- Last Update Date: 08/05/2021
Medical Identifiers
Medical identifiers for Jacqueline Mary Henretig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316372139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY-005432 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Mary Henretig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Mary Henretig, 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 Ph: (602) 323-3492 | Jacqueline Mary Henretig, 1840 E Broadway Rd, Tempe, AZ 85282-1614 Ph: (022) 437-2776 |
Reviews and Comments