Provider Demographics
NPI:1134563901
Name:GASPARRI, JENNIFER (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GASPARRI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 CANDLENUT CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4223
Mailing Address - Country:US
Mailing Address - Phone:407-620-6304
Mailing Address - Fax:
Practice Address - Street 1:2001 CANDLENUT CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4223
Practice Address - Country:US
Practice Address - Phone:407-620-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3199106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist