Individual
DR. JESSICA KORNWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 PROSPECT ST, SUITE 5-7, RIDGEWOOD, NJ 07450-4404
(201) 447-2242
(201) 447-4377
Mailing address
1 PROSPECT ST, SUITE 5-7, RIDGEWOOD, NJ 07450-4404
(201) 447-2242
(201) 447-4377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4632
NJ
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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