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Contact Information

JENNIFER A DARAKJY, PhD
5300 MCNUTT RD
SUITE 12
SANTA TERESA, NM88008-9606
 Phone: 915-588-0223
 Fax: 915-231-6111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER A DARAKJY · (Female)

NPI # 1326380445
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/27/2013
Last updated 03/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0049C
  • NM License # 1267
  • TX License # 36433
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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