Individual provider · Type 1 NPI

Jennifer Alice Self, PhD

Clinical Psychologist · Salem, VA

NPI number 1740588706 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810004459 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1740588706

Jennifer Alice Self, PhD's National Provider Identifier is 1740588706, issued on Mar 1, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Salem, VA. The record was last updated on Sep 13, 2011.