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Contact Information

JERI GENTRY
2620 N 140TH AVE
GOODYEAR, AZ85395-2437
 Phone: 623-536-7956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JERI GENTRY · (Female)

NPI Number 1134470271
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2012
Last updated 03/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # PSY-005288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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