Provider Demographics
NPI:1538255872
Name:GETER, JENNIFER L (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:GETER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 UNION AVE
Mailing Address - Street 2:SUITE 709
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3641
Mailing Address - Country:US
Mailing Address - Phone:901-726-5200
Mailing Address - Fax:901-725-3883
Practice Address - Street 1:1407 UNION AVE
Practice Address - Street 2:SUITE 709
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3641
Practice Address - Country:US
Practice Address - Phone:901-726-5200
Practice Address - Fax:901-725-3883
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP2407103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3585616Medicaid
TN4065361OtherBCBS
TN7075467OtherAETNA
TN4065361OtherBCBS