| Jennifer M. Gillette, Psy.d., P.a. | |
|
10650 W State Road 84 Ste 211 Davie FL 33324-4235 | |
| (954) 257-0711 | |
| Not Available |
| Full Name | Jennifer M. Gillette, Psy.d., P.a. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10650 W State Road 84 Ste 211, Davie, Florida |
| Authorized Official Name and Position | Jennifer Gillette (DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Contact | 9542570711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M. Gillette, Psy.d., P.a. 3790 Sw 106th Ter Davie FL 33328-1309 Ph: (954) 257-0711 | Jennifer M. Gillette, Psy.d., P.a. 10650 W State Road 84 Ste 211 Davie FL 33324-4235 Ph: (954) 257-0711 |
| NPI Number | 1245518687 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245518687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY8276 (Florida) | Primary |
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