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Contact Information

JENNIFER EALY, MS
696 JACKSON AVE
MEMPHIS, TN38105-2006
 Phone: 901-260-9124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER EALY · (Female)

NPI Number 1285130476
Status Active
Credentials MS
Entity Individual
Enumeration date 04/05/2018
Last updated 04/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
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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