JERI GENTRY

Clinical Psychologist · GOODYEAR, AZ

Individual Active NPI 1134470271

Taxonomy & licensure

Specialty	Code	Primary	License	State
Clinical Psychologist	103TC0700X	✓	PSY-005288	AZ
Counseling Psychologist	103TC1900X		PSY-005288	AZ
Forensic Psychologist	103TF0200X		PSY-005288	AZ
Group Psychotherapy Psychologist	103TP2701X		PSY-005288	AZ
Student in an Organized Health Care Education/Training Program	390200000X		—	—

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.