Jenise Lum, PHD
Psychologist, Clinical in Brick, New Jersey
1164057923- Practice location
- 1683 Route 88 W, Brick, NJ 08724-3072
- Phone
- 732-840-5266
- Fax
- —
- Last updated
- March 11, 2020
Jenise Lum is a Psychologist, Clinical based in Brick, NJ. Jenise Lum practices in Brick, NJ and has the professional credentials of PHD. The NPI Number for Jenise Lum is 1164057923 and holds a License No. 35SI00623100 (NJ). The current practice location address for Jenise Lum is 1683 Route 88 W, Brick, NJ 08724-3072 and can be reached out via phone at 732-840-5266.
Provider Profile Details
- NPI Number
- 1164057923
- Provider Name
- Jenise Lum
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1683 Route 88 W, Brick, NJ 08724-3072
- Phone Number
- 732-840-5266
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 11, 2020
- Last Update Date
- March 11, 2020
- Certification Date
- March 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1683 Route 88 W
Brick, NJ 08724-3072 - City
- Brick
- State
- New Jersey
- Zip
- 08724-3072
- Phone Number
- 732-840-5266
Provider Business Mailing Address Details
- Address
- 1683 Route 88 W
Brick, NJ 08724-3072 - City
- Brick
- State
- NJ
- Zip
- 08724-3072
- Phone Number
- 732-840-5266
License Information
- Taxonomy (1)
- Clinical Neuropsychologist · 103G00000X
- License Number (2)
- 35SI00623100
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jenise Lum, PHD?
The NPI number of Jenise Lum, PHD is 1164057923. It was assigned on March 11, 2020 and is currently active in the NPPES registry.
What is the specialty of Jenise Lum, PHD?
Jenise Lum, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00623100.
Where does Jenise Lum, PHD practice?
The practice location is 1683 Route 88 W, Brick, NJ 08724-3072. The office can be reached at 732-840-5266 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164057923 directly on the NPPES registry website.