Provider Demographics
NPI:1396042008
Name:AAKRE, JENNIFER M (PHD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:AAKRE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5634
Mailing Address - Country:US
Mailing Address - Phone:612-454-0995
Mailing Address - Fax:
Practice Address - Street 1:1133 MAPLE ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-5634
Practice Address - Country:US
Practice Address - Phone:612-454-0995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05196103TC0700X
MNLP6527103TC0700X
IA109350103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical