Individual
MRS. JESSICA NEILANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 UNION RD, CHEEKTOWAGA, NY 14225-1851
(716) 505-5700
Mailing address
478 TEAKWOOD TER, WILLIAMSVILLE, NY 14221-3906
(973) 747-5941
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1115507171
NY
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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