Provider Demographics
NPI:1053641118
Name:JENNIFER CINA PC
Entity Type:Organization
Organization Name:JENNIFER CINA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-789-7560
Mailing Address - Street 1:2450 FONDREN RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2318
Mailing Address - Country:US
Mailing Address - Phone:713-789-7560
Mailing Address - Fax:713-789-7351
Practice Address - Street 1:2450 FONDREN RD
Practice Address - Street 2:SUITE 312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2318
Practice Address - Country:US
Practice Address - Phone:713-789-7560
Practice Address - Fax:713-789-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34181103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty