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Contact Information

LESAJEAN M. JENNINGS, PSY.D.
1319 LIVE OAK ST
HOUSTON, TX77003-4408
 Phone: 713-225-2280
 Fax: 713-225-5787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LESAJEAN M. JENNINGS, PSY.D.

NPI # 1972860369
LBN Legal business name LESAJEAN M. JENNINGS, PSY.D.
Authorized official LESAJEAN JENNINGS - (LICENSED PSYCHOLOGIST / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2012
Last updated 04/23/2012 - About 14 years ago
Identifiers
TX License # 25562
TX Medicaid 1136236-01
TX Other 10020773 AMERIGROUP
TX Other 0062BT BLUE CROSS / BLUE SHIELD
TX Other JENNI-0006 COMPCARE
TX Other 167799 COMPSYCH
TX Other 107094 SUPERIOR
TX Other 135153 VALUE OPTIONS
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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