Individual
DR. JILYNN EAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3698
(716) 677-7000
Mailing address
1010 E AND WEST RD, WEST SENECA, NY 14224-3698
(716) 677-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023061
NY
103TS0200X
School Psychologist
0813000934
VA
Other
Enumeration date
02/28/2018
Last updated
08/27/2019
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