Provider Demographics
NPI:1003185166
Name:DOYLE, JENNIPHER KAY (MS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIPHER
Middle Name:KAY
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3286 GRANGER AVE E
Mailing Address - Street 2:#8
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6057
Mailing Address - Country:US
Mailing Address - Phone:406-534-1275
Mailing Address - Fax:
Practice Address - Street 1:3286 GRANGER AVE E
Practice Address - Street 2:#8
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6057
Practice Address - Country:US
Practice Address - Phone:406-534-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health