Individual
DR. JENNY WALLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 80TH ST, BROOKLYN, NY 11209-3511
(929) 304-6337
Mailing address
75 80TH ST, BROOKLYN, NY 11209-3511
(929) 304-6337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018832
PA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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