Provider Demographics
NPI:1114476355
Name:STROOP, JENNIFER (MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:STROOP
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:UCONN HEALTH DIVISION OF HUMAN GENETICS
Mailing Address - Street 2:263 FARMINGTON AVE.
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-2812
Mailing Address - Country:US
Mailing Address - Phone:860-679-6055
Mailing Address - Fax:860-679-0143
Practice Address - Street 1:UCONN HEALTH DIVISION OF HUMAN GENETICS
Practice Address - Street 2:263 FARMINGTON AVE.
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-2812
Practice Address - Country:US
Practice Address - Phone:860-679-6055
Practice Address - Fax:860-679-0143
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT20170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS