Individual provider · Type 1 NPI

Jennifer Urbani Premo, EDDIAGNOSTICIANMED

Adolescent and Children Mental Health Clinic/Center · Dallas, TX

NPI number 1083229611 Active

Practice location

4125 Beechwood Ln
Dallas, TX 75220-1905

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: 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.

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About NPI 1083229611

Jennifer Urbani Premo, EDDIAGNOSTICIANMED's National Provider Identifier is 1083229611, issued on Sep 10, 2020. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Dallas, TX. The record was last updated on Sep 10, 2020.