Jeri Gentry

Clinical Psychologist · Goodyear, AZ

Individual Active NPI

NPI number 1134470271

Practice location

2620 N 140TH Ave
Goodyear, AZ 85395-2437
Phone
(623) 536-7956

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NPI record

NPI
1134470271
Entity type
Individual (Type 1)
Enumeration date
September 28, 2012
Last updated
March 17, 2022
Certified
March 17, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 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 — —

Mailing address

2620 N 140TH Ave Ste 101
Goodyear, AZ 85395-2437
Phone
(623) 536-7956

About Jeri Gentry

Jeri Gentry is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 2620 N 140TH Ave, Goodyear, AZ 85395-2437. The NPI number 1134470271 was assigned on September 28, 2012 and the record was last updated on March 17, 2022.

Jeri Gentry lists 4 licenses in the registry: #PSY-005288 (AZ) for Clinical Psychologist; #PSY-005288 (AZ) for Counseling Psychologist; #PSY-005288 (AZ) for Forensic Psychologist; #PSY-005288 (AZ) for Group Psychotherapy Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeri Gentry?

The NPI number is 1134470271.

What is the phone number of Jeri Gentry?

The phone number listed for the practice location is (623) 536-7956.

Where is Jeri Gentry located?

2620 N 140TH Ave, Goodyear, AZ 85395-2437.

What is the taxonomy code for Jeri Gentry?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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