Provider Demographics
NPI:1912349192
Name:MACINTYRE, JENNIFER L (LCGC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:MACINTYRE
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SABATINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCGC
Mailing Address - Street 1:4701 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2055
Mailing Address - Country:US
Mailing Address - Phone:302-623-4593
Mailing Address - Fax:302-623-4845
Practice Address - Street 1:4701 OGLETOWN STANTON RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2055
Practice Address - Country:US
Practice Address - Phone:302-623-4593
Practice Address - Fax:302-623-4845
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECG-0000050170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS