Jennifer Urbani Premo, EDDIAGNOSTICIANMED
Jennifer Urbani Premo, EDDIAGNOSTICIANMED is a Case Management Agency in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
4125 Beechwood LnDallas, TX 75220-1905
Phone: (214) 532-6726
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Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X (TX) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X (TX) |
| Community/Behavioral Health Agency | Taxonomy 251S00000X (TX) |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X (TX) |
Record details
| NPI number | 1083229611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | EDDIAGNOSTICIANMED |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2020 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
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