Provider Demographics
NPI:1760507701
Name:ADAMS, JENNIFER SMITH (MA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SMITH
Last Name:ADAMS
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Gender:F
Credentials:MA
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Mailing Address - Street 1:PO BOX 26170
Mailing Address - Street 2:UNCG PSYCHOLOGY CLINIC
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27402-6170
Mailing Address - Country:US
Mailing Address - Phone:336-334-5662
Mailing Address - Fax:336-334-5754
Practice Address - Street 1:355 EBERHART BLDG
Practice Address - Street 2:UNCG CAMPUS
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27402-6170
Practice Address - Country:US
Practice Address - Phone:336-334-5662
Practice Address - Fax:336-334-5754
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3279103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical