Dr Jennifer Klocker Daffon, PSYD is a
Psychologist - Clinical Child & Adolescent based in Lynnwood, Washington. Dr Jennifer Klocker Daffon is licensed to practice in Washington (license number PY60815519) and her current practice location is
19730 64th Ave W Ste 301, Lynnwood, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 686-9627.
NPI number for Dr Jennifer Klocker Daffon is 1730271313 and her current mailing address is 19730 64th Ave W Ste 301, Lynnwood, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730271313.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Klocker Daffon |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 19730 64th Ave W Ste 301, Lynnwood, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730271313
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/14/2023
Medical Identifiers
Medical identifiers for Dr Jennifer Klocker Daffon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730271313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY60815519 (Washington) | 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. Dr Jennifer Klocker Daffon 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 |
|---|
Dr Jennifer Klocker Daffon, PSYD
19730 64th Ave W Ste 301,
Lynnwood, WA 98036-5957
Ph: (425) 686-9627 | Dr Jennifer Klocker Daffon, PSYD
19730 64th Ave W Ste 301,
Lynnwood, WA 98036-5957
Ph: (425) 686-9627 |
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