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Contact Information

DOCTOR ELIZABETH JENSEN PSYCHIATRY PROFESSIONAL CORPORATION
27 RYE CIRCLE
SOUTH BURLINGTON, VT05483
 Phone: 802-777-8703
 Fax: 802-654-9155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DOCTOR ELIZABETH JENSEN PSYCHIATRY PROFESSIONAL CORPORATION

NPI # 1710332549
LBN Legal business name DOCTOR ELIZABETH JENSEN PSYCHIATRY PROFESSIONAL CORPORATION
Authorized official ELIZABETH JENSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2016
Last updated 04/29/2016 - About 10 years ago
Identifiers
VT License # 042.0013202
VT Medicaid 1025437
Other 1740440122 PROVIDER NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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