DR. JENNIFER E FENNELL PSYD
NPI 1881963437
Psychologist - Clinical in Norcross, GA

Q: What is Jennifer Fennell's NPI number?

The NPI number for Jennifer Fennell is 1881963437. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Q: What is Jennifer Fennell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fennell was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2011

4530 SOUTH BERKELEY LAKE ROAD, NORCROSS, GA 30071(770) 446-5642(770) 446-5643 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer E Fennell Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER E FENNELL PSYD (NPI 1881963437) is an individual clinical provider in Norcross, Georgia, licensed in Georgia (PSY003407) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1881963437

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER E FENNELLCredential: PSYD

Location Address4530 SOUTH BERKELEY LAKE ROADNorcross, GA 30071

Mailing Address4530 South Berkeley Lake RoadNorcross, GA 30071 · (770) 446-5642 · Fax (770) 446-5643

Phone(770) 446-5642

Fax(770) 446-5643

Sole ProprietorYes

Enumeration DateDecember 27, 2011

✔ NPI 1881963437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003407

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4530 SOUTH BERKELEY LAKE ROAD, Norcross, GA 30071

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Fennell's NPI number?

The NPI number for Jennifer Fennell is 1881963437. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Jennifer Fennell located?

Jennifer Fennell practices at 4530 South Berkeley Lake Road, Norcross, GA 30071. The listed phone number is (770) 446-5642.

What is Jennifer Fennell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Fennell was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.