Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Rae Henretty, PHD

Individual provider Clinical Psychologist · NPI 1801516653

Dr. Jennifer Rae Henretty, PHD is a Clinical Psychologist in Long Beach, California. Practices as a sole proprietor. Licensed in California and Virginia.

Licensed in
CA, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9225 Marina Pacifica Dr N
Long Beach, CA 90803-3887
Phone: (562) 714-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 25651 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810005845 (VA)

Record details

NPI number1801516653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

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