JENNIFER L ECONOPOULY


Address: 1025 N Country Club Dr, Mesa, AZ 85201-3307
Phone: 4804720502

JENNIFER L ECONOPOULY (NPI# 1316133812) 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) 1316133812
Entity Type Individual
Full Name JENNIFER L ECONOPOULY
Practice Address 1025 N Country Club Dr
Mesa
AZ 85201-3307
Practice Telephone 4804720502
Practice Fax Number 4804720705
Mailing Telephone 4804720502
Mailing Fax Number 4804720705
Enumeration Date 2007-09-18
Last Update Date 2007-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 1025 N COUNTRY CLUB DR
City MESA
State AZ
Zip Code 85201-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144200288 Debra Gonzales Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2006-01-17
1629678693 Autrey Taylor Veitel Specialist/Technologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-10-29
1790390375 Rebecca Ann Galaviz Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-09-10
1811506652 Erika Mcsweeney Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1780293415 Samantha Gubka Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1003425851 Kaye Sjoholm Physical Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1740899574 Brooke Danielle Ermisch Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1023626371 Taylor Dunnahoo Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-22
1093349524 Jana Campos Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-02-24
1730719287 Nicole Frey Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508378209 Shanna Schopmeyer Psychologist 9646 E Baltimore St, Mesa, AZ 85207-8030 2017-11-02
1063806354 Shannon Follett Psychologist 10020 E Isleta Ave, Mesa, AZ 85209-7783 2015-03-24
1326356221 Todd Mckay Psychologist 2055 S Rogers, Mesa, AZ 85202-6524 2010-09-14
1720394042 Kerry Rae Williams Psychologist 738 S Longmore, Mesa, AZ 85202-1908 2010-08-24
1639300098 Heather Hynes Psychologist 4831 E Dixon St, Mesa, AZ 85205-6456 2009-08-03
1255562120 Steven Casamento Psychologist 1710 S Gilbert Rd, Apt 1090, Mesa, AZ 85204-8031 2009-07-27
1871749846 Gg Heintz-jacobs Psychologist 2940 E Broadway Rd, #231, Mesa, AZ 85204-1751 2008-08-11
1578753315 Michael Dale Fidler Psychologist 1158 E Hackamore St, Mesa, AZ 85203-4333 2007-07-27
1851517833 Bonnie Jean Bartol Psychologist 705 S 32nd St, Mesa Public Schools Taylor Jr High, Mesa, AZ 85204 2007-04-18
1669514329 Elizabeth Danielson Psychologist 3120 N Red Mountain, Mesa, AZ 85207-1068 2007-02-12
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Competitor

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City MESA
Zip Code 85201

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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