Provider Demographics
NPI:1942504154
Name:MAYER, JENNIFER L (LMT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:MAYER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 PARK PL
Mailing Address - Street 2:APT 4C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4051
Mailing Address - Country:US
Mailing Address - Phone:347-325-3434
Mailing Address - Fax:
Practice Address - Street 1:428 PARK PL
Practice Address - Street 2:APT 4C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4051
Practice Address - Country:US
Practice Address - Phone:347-325-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula