DR. PHYLLIS K. JENSEN, PSY.D.
Psychologist at Venetia Bay Blvd, Venice, FL

License number
Florida PY6912
Category
Psychologist
Type
Psychologist
Address
Address
871 Venetia Bay Blvd STE 360, Venice, FL 34285
Phone
(941) 485-0854
(941) 480-9013 (Fax)
National Provider ID: 1669495081
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYLLIS K. JENSEN at bizstanding.com

Phyllis K Jensen Psy D

871 Venetia Bay Blvd STE 360, Venice, FL 34285

Phone:
(941) 485-0854 (Phone), (941) 480-9013 (Fax)
Billing Managers:
Phyllis K Jensen Psy,Dawn Lambert (Billing Manager)
Categories:
Psychologists

PHYLLIS K. JENSEN, PSY.D., LLC

871 Venetia Bay Blvd SUITE 360, Venice, FL 34285

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 28, 2008
Inactive since:
Sep 27, 2013
State ID:
L08000052932
Business type:
Florida Limited Liability Company
Manager:
Phyllis K Jensen Manager, inactive, 871 Venetia Bay Blvd, Venice, FL 34285 (Physical)
Agent:
Phyllis Jensen,871 Venetia Bay Blvd SUITE 360, Venice, FL 34285 (Physical)
EIN:
35-2349061

Professional information

Phyllis K Jensen Photo 1

Phyllis K Jensen, Venice FL
Specialties:
Psychologist
Address:
871 Venetia Bay Blvd, Venice, FL 34285

Phyllis K Jensen Photo 2

Phyllis K Jensen, Venice FL
Specialties:
Psychology
Address:
871 Venetia Bay Blvd STE 360, Venice 34285
(941) 485-0854 (Phone), (941) 480-9013 (Fax)
Languages:
English

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