JENNIFER URBANI PREMO EDDIAGNOSTICIANMED NPI 1083229611

NPI Information

NPI: 1083229611
Provider Name: JENNIFER URBANI PREMO, EDDIAGNOSTICIANMED
Classification: Clinic/Center - 261QM0855X
Entity Type: Individual

Specialization: Adolescent and Children Mental Health

Address:
4125 BEECHWOOD LN
DALLAS, TX
ZIP 75220
Phone: (214) 532-6726
Get Directions

Jennifer Urbani Premo, EDDIAGNOSTICIANMED is an adolescent and children mental health clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. Jennifer Urbani Premo, EDDIAGNOSTICIANMED NPI is 1083229611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4125 BEECHWOOD LN
DALLAS, TX
ZIP 75220-905
Phone: (214) 532-6726

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	251B00000X	Case Management		TEXAS	No
2	251S00000X	Community/Behavioral Health		TEXAS	No
3	261QM0850X	Clinic/Center	Adult Mental Health	TEXAS	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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