Provider Information

Last Updated : Nov 22 2024 3:48 PM

Jennifer Smith




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Smith
First Name
Jennifer
Address
5588 N Palm Ave
State
CA
Zip Code
93704
Phone
(866)206-2008
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.A.
Physician ID
913777
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1720566060
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB30492
Email
nclinton@buildingblocksbc.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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