Provider Demographics
NPI:1477593721
Name:JENSEN, HEATHER STROHMEYER (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:STROHMEYER
Last Name:JENSEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5855 E NAPLES PLZ
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5060
Mailing Address - Country:US
Mailing Address - Phone:800-204-5391
Mailing Address - Fax:800-385-1675
Practice Address - Street 1:5855 E NAPLES PLZ
Practice Address - Street 2:SUITE 309
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5060
Practice Address - Country:US
Practice Address - Phone:800-204-5391
Practice Address - Fax:800-385-1675
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20377103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical