DR. JENNIFER FUENTES PEREZ (NPI# 1851639207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851639207 |
Entity Type | Individual |
Full Name | DR. JENNIFER FUENTES PEREZ |
Credential | PSY.D. |
Practice Address |
207 Commerce Drive Chesterfield SC 29709 |
Mailing Address |
Po Box 918 Bennettsville SC 29512 |
Practice Telephone | 8436232229 |
Mailing Telephone | 8435444060 |
Enumeration Date | 2013-01-18 |
Last Update Date | 2019-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
004555 | PR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 405127 | 05 |
Street Address |
207 COMMERCE DRIVE |
City | CHESTERFIELD |
State | SC |
Zip Code | 29709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477109346 | Tanganyika Onyema Wright | Counselor | 207 Commerce Drive, Chesterfield, SC 29709 | 2019-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
1760957286 | Jan Psillos | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2018-10-11 |
Find all providers in zip 29709 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
1508066408 | Mary Sciotto | Psychologist | 10106 Krause Rd Ste 105, Chesterfield, VA 23832-6572 | 2007-07-19 |
1679793897 | Glinda Mae Sullivan | Psychologist | 106 4 Seasons Ctr, Suite 106c, Chesterfield, MO 63017-3173 | 2007-04-27 |
1922166420 | Kelly Joyce Britt | Psychologist | 10109 Krause Rd., Suite 100, Chesterfield, VA 23838 | 2006-12-05 |
1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
1831202423 | Mary E Bane | Psychologist | 1585 Woodlake Drive, Suite 115, Chesterfield, MO 63017 | 2006-08-16 |
1356360036 | Robert Andrew Gillespie | Psychologist | 14561 N Outer 40, Chesterfield, MO 63017-5703 | 2006-07-19 |
1780673186 | Jody Lynn Woodward | Psychologist | 14561 N Outer 40 Rd, Ste 250, Chesterfield, MO 63017-5703 | 2005-10-18 |
1326692344 | Lottie Ampy | Psychologist | 9846 Lori Rd Ste 201, Chesterfield, VA 23832-6695 | 2019-07-29 |
1164902201 | Madalyn R Schneider | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-08-17 |
Find all providers in CHESTERFIELD |
City | CHESTERFIELD |
Zip Code | 29709 |
Please comment or provide details below to improve the information on DR. JENNIFER FUENTES PEREZ.
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.