Jennifer Calandra
Individual provider Active NPI Counselor · Bartow, FL
NPI 1477697217 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477697217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 113 E Main St
Bartow, FL 33830-4630 - Phone
- (813) 689-8828
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
113 E Main St
Bartow, FL 33830-4630
Mailing address
135 N Moon Ave
Brandon, FL 33510-4419
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.